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] Keller.Canoe ❑ Ox Mountain El Newby Island ALandfill <br /> Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill i <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road l <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 �I <br /> i <br /> NON-HAZARDOUS WASTE MANIFEST & <br /> :NERATOR WASTE ACCEPTANCE NO. <br /> \ILING ADDRESS <br /> 7V7r_ <br /> 77 Reale Street Mail CAAC 1324A <br /> rY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> SBr! Frr111r_.14CA CA 94120 <br /> IONE ❑GLOVES ❑GOGGLES ❑RESPIRATOR O HARD HAT <br /> __ ❑TY-VEK O OTHER <br /> )NT CT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> Robert Gray <br /> 3NATURE OF AUTHORIZED AGENT/TITLE DATE <br /> trr :1 Audwind Ageat for <br /> / PQcific "Electric / .............. <br /> // AT__. <br /> jrU��L <br /> ENERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> We as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> wcribed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> gulations;AND,If the waste Is a treatment residue of•previousy restricted hazardous waste <br /> Eject to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> *ordance with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by - <br /> 1 CFR Part 261. <br /> kST,E TYPE: <br /> i <br /> ISPOSAL ❑SLUDGE <br /> 411 NSTRUCTION O WOOD i <br /> O DEBRIS O OTHER <br /> O SPECIAL WASTE <br /> :NERATING FACILITY <br /> t7IIlWn TLJGAytlraitur !IlUTi ion <br /> IAL.,, ORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER li <br /> DFeimeste 1'rans tum I <br /> )DRESS <br /> fY,STATE,ZIP <br /> -- r LA 9�049Z . <br /> IONE , END DUMP BOTTOM DUMP '''rtRANSFER I ; <br /> 0707A_3R-1 407/ ❑ _ , ❑ <br /> 3N U OF AUYN95RIZWD AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> ! ❑ ❑ ❑ ❑ <br /> i l <br /> CUBIC YARDS OI <br /> hereby certify that the above named material has been <br /> iiiccepted 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 /> :MARKS o SOIL I a <br /> L)CONSTRUCTION <br /> CILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE ' <br /> ASBESTOS <br /> 3NATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD <br /> a O ASH <br /> ❑SPECIAL OTHER k <br /> )UUNG MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL-ANY UNSCHEDULED LOADS ARE SUBJECT j <br /> EFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE <br /> DAY jFgRE. <br /> GENERATOR G{WY <br /> MANIFEST k <br />