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Keller Qgnyon ❑ Ox Mountain ❑ Newby Island [Forward i <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill ;. <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road I <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 I <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(408) 262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> :NERATORt <br /> n 0. WASTE ACCEPTANCE NO. <br /> dLING ADDRESS <br /> ,t nnn- <br /> 77 Beale Street Mail Code B24A <br /> fY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Franc>sc-n CA 941.20 <br /> ZONE U GLOVES O GOGGLES U RESPIRATOR 0 HARD HAT I `f <br /> " ' 97-3-377-1 <br /> LlO TY-VEK OTHER <br /> )INTACT PERSON <br /> RobertSPECIAL HANDLING PROCEDURES: <br /> Qm <br /> 3NATURE OF AUTtiORIZED AGENT/TITLE DATE <br /> Adhociykd Agent for <br /> Pacific CTw&Electric `�'AV .............. g <br /> Ltil/l/� 7k Ik�F <br /> :NERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> este as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> scribed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> gulatlons;AND,If the waste Is s treatment residue of•previously restricted hazardous waste I <br /> biect to the Lard Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> aordance with the requirements of 40 CFR Pan 266 and is no longer a hazardous waste as defined by <br /> j CFR Part 261. <br /> TE TYPE: <br /> DISPOSAL ❑SLUDGE <br /> O ONSTRUCTION O WOOD <br /> I .y <br /> O DEBRIS ❑OTHER ; x <br /> O SPECIAL WASTE <br /> I <br /> :NERATING FACILITY <br /> nhoI mhy 1114urnLon <br /> �� <br /> IANurORTER NOTES: VEHICLE LICENSE NUMBER TR CK NUMBER <br /> Dentseste Iramsponation. �7 <br /> (DRESS J <br /> TLIY, STATE,ZIP <br /> Windsor CA.95492 a <br /> IONE END DUMP BOTTOM DUMP 'TRANSFER <br /> (707)838-1.4-07 ❑ ❑ ; <br /> 3NA R OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ I <br /> - <br /> CUBIC YARDS 4 ' 11 <br /> I <br /> 1 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 /> I <br /> :MARKS L)SOIL <br /> O CONSTRUCTION <br /> CILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> 3NATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD 1 <br /> ❑ASH <br /> O SPECIAL OTHER <br /> DUUNG MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a ANY UNSCHEDULED LOADS ARE SUBJECT <br /> !FUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> CsEAIEftATOR COPY MANIFEST# 341950 <br />