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❑ Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone(209)982-4298 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR ��....,, WASTE ACCEPTANCE N0. <br /> Pacific Gas UL 10octric <br /> MAILING ADDRESS <br /> A rsnn- <br /> 77 Beale Rhx-ct MA Code R74.A It7v--7 <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Franci9co CA 94120 U GLOVES U GOGGLES U RESPIRATOR O HARD HAT <br /> PHONE <br /> U TY-VEK U OTHER <br /> CONTACT-PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> i� Autfearazcd,agent Etre <br /> *C Pacific Oas&Electricw........ "- <br /> -D ... /►T_- <br /> GENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> 1 V l/il$ <br /> waste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been properly <br /> described,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> regulations;AND,if the waste is a treatment residue of a previously restricted hazardous waste <br /> subject to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40 CFR Part261. <br /> WASTE TYPE: <br /> ,AMISPOSAL U SLUDGE <br /> U CONSTRUCTION U WOOD <br /> O DEBRIS U OTHER_ <br /> U SPECIAL WASTE <br /> GENERATING FACILITY <br /> Thurnkm—lianydrdiur a13rn"HI <br /> 'RANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCKNUMBER <br /> DenBede fransportatio / , <br /> ADDRESS <br /> CITY,STATE,ZIP <br /> Mdud <br /> CA 954!9r2 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATUF,IE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> tk _v <br /> CUBIC YARDS <br /> h by certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER <br /> O <br /> REMARKS SOIL <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> O WOOD <br /> O ASH <br /> tie U SPECIAL OTHER <br /> SCHEDULING MUST BEMADE PRIORTO,3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED.WITH THE LANDFILL THE DAY BORE. <br /> GENERATOR COPY MANIFEST# 34' <br /> W`�"(, <br />