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I <br /> ❑�ICell�erq �K „❑ Ox Mountain ❑ Newby Island J% Forward <br /> Sanitary Larflll 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 NO. <br /> Pacific Craft tYi Electric <br /> MAILING ADDRESS (�(� _ <br /> Y 7i/7 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> Som Frfatncis ou CA 94.1.70 ❑GLOVES O GOGGLES U RESPIRATOR U HARD HAT <br /> PHONE <br /> ❑TY-VEK O OTHER <br /> CONT 'CW AIM SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE <br /> Authorized Agat for f <br /> Pacific�C ilia&Eleciz is ,; f, c,...... ........ <br /> /. . <br /> GENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> described,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> regulations:AND,It 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 tonger a hazardous waste as defined by <br /> 40 CFR Part 261. <br /> WA TE TYPE: <br /> DISPOSAL Q SLUDGE <br /> U CONSTRUCTION Q WOOD <br /> U DEBRIS Q OTHER <br /> Q SPECIAL WASTE <br /> GENERATING FACILITY <br /> Thulmton Duhyct> or Thcmtuion <br /> RANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> L)mBeste'I'ramportafton <br /> ADDRESS r <br /> _ _ .n e_Rt_e_ _ <br /> CITY,STATE,ZIP C51, I <br /> WindsM CA 95492 <br /> PHONE END DUMP BOTTOM DUMP 1 <br /> -.0,TRANSFER <br /> SIGN -AUTHORlypT OR DRIVER' DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> * /-al- . <br /> CUBIC YARDS <br /> I hereby 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 /> EMARKS FUNON-FRIABLE OtI <br /> ONSTRUCTION <br /> FACILITY TICKET NUMBER EBRIS <br /> SBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> U WOOD <br /> Q ASH <br /> Q SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIOR TO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR COPY MANIFEST# 341943 <br />