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] Keller Canyon F1Ox Mountain ElNewby Island <br /> orward <br /> Sanklti idfill 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 /> II��I <br /> :NERATOR WASTE ACCEPTANCE NO. ; 0001 <br /> I'acific Cas ° Elc:cteic - <br /> ►ILING ADDRESS A 0AA <br /> 77 Beale Sh=1 Mail Code B24A <br /> fY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Franc.Lgc0 CA 94120 U GLOVES U GOGGLES U RESPIRATOR U HARD HAT <br /> IONE <br /> (4155) 971-1773 U TY-VEK U OTHER i <br /> )NT CT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> Robei-t QM <br /> 3NATURE OFAUTHORIZED AGENT/TITLE DATE <br /> Auffmrized Agmt for <br /> Pacific Lias&Electric / I sift <br /> NERATOR'S CERTIFICATION:I hereby certify that the above named material is not a hazardous <br /> tste as defined by 40 CFR Part 261 or title 22 of the Califomia code of regulations,has been properly <br /> scribed,classified and packaged,and is in proper condition for transportation a-cording to applicable <br /> gylalions;AND,if the waste is a treatment residue of a previously restricted hazardous waste <br /> bJect to the Land Disposal Restrictions,I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> .d..with the requirements of 40 CFR Part 266 and is no longer a hazardous waste as defined by <br /> r CFR Part 261. <br /> IiSTE TYPE: <br /> ISPOSAL U SLUDGE <br /> O C NSTRUCTION U WOOD s <br /> U DEBRIS U OTHER <br /> U SPECIAL WASTE <br /> :NERATING FACILITY <br /> nomion rmhydraw>r l Il(Smii1I1 <br /> t .rpt <br /> At,_-IORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> I)CnBeste 'ftansportafton <br /> (DRESS ; <br /> _ Pq-te. _,t. <br /> IY,STATE,ZIP <br /> Mindsor, CA 9 492 I . <br /> (ONE END DUMP BOTTOM DUMP TRANSFER <br /> _i ❑ ❑ A <br /> i <br /> 3NATURE OF AUTHORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN 'DRUMS ' <br /> L11 L1 L) <br /> boor <br /> CUBIC YARDS 100,01 <br /> ,r <br /> 1 hereby certify that the above named material has been <br /> I <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. 4 <br /> DISPOSE OTHER <br /> U SOIL <br /> MARKS <br /> U CONSTRUCTION <br /> -1IL.ITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> 'NATURE OF AUTHORIZED AGENT DATE <br /> ❑WOOD � <br /> U ASH <br /> O SPECIAL OTHER <br /> MNNNMMW <br /> )ULING 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 /> GENERATOR COPY <br /> MANIFEST N 341-962 <br />