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.._. { _ <br /> i +'a 4 1B CanyonX Unt in �i ewb Sly: .. J] For'dA alyd <br /> �+ <br /> anitar Landfill L nafill nit rr Lit " ll Landfill � <br /> 9034 86 y Road 1233 tf`San Maieo RWd 1601 Dixon Lan Road 99"S.Auslin Road <br /> Pinsbiat` ,CA 9466& Malt Moori Say,CA 94019 Md1pjta �=:CA 95035 Mantoaa,CA 95338 <br /> Phone(825)-458-9800 Phone(680)726--18'18 Phone(408)945-2,8QA Pt One(209)982-4298 <br /> 5iax 5)4587MI � `Fax(650).726-9183 Vax(408)262-21871 Fax(209)5t2-1 009 <br /> GENERATOR <br /> WASTE ACCEPTANCE NO. � <br /> MAILING ADDRESS <br /> CITY.STATE.ZIP REQ t SO PSR ONAL P OTECPMENT <br /> LUV L1=S C).RESPiRATORTO HAF 1)HAT <br /> PHONE <br /> CONTACT PERSON <br /> SPECIAL HANDLING PROCEDURES, <br /> SIGNATURE OF AUTHORIZED AGENT CTITLE DATE <br /> Alf <br /> Cf T3 .TOi'S CEFMFIOA'YItS;4-.�ts#rr5y 4edtty that uta at)va Maw tAaIA411 to M1 t or -s <br /> w #a;,1 u$nwd Dy AQ£FSS W20 or ms&22 at ft CaVOY00oft o4 espuwA o'r,hasbbgn prapef�y <br /> tS in j to"i.,;Ow iop fpi(fd y t SidS1E 3`C®T4 gV to <br /> G f a# <br /> S �W tIations,0.0,it the waoc Ia 41 vo h l;w h161duo of a�iPMYC¢�+�Y`{Ytf'tG twordmq s%w;t -- -- <br /> t res tires a st c€t�spr a t t� air ns t c � rtd warruu u�ar mm we c €t Asn tro�tad A50EI IN FACILITY <br /> s IPO Corn*wTdth3 r�gvfrorarEnts'b•4OIFR Rai 2 &tsf4d tynpar t azalea wee ss�is1F 4y <br /> 4OCFRpart ta .r <br /> WASTE TYPE, <br /> DISPOSAL U SLUDGE <br /> 0 CONSTRUCTION 0 WOOD <br /> Q DEBRIS D OTHE-19 <br /> 0 SPECIAL WASTE <br /> I GENERATING FACILITY <br /> . <br /> TRANSPORTETi MOTES: .v8HICLE LICENSE NUMBER TRUCK NUMBER <br /> _ <br /> I !. <br /> CTT,;STATE,ZIP �� € <br /> PHONE ENT)DUMP .: : BOTTOM DUMP TR.At ,9FE R <br /> SIGNATusE OF AUTPORI ED Ad NT"6R DRIVER [:TATE A('3I �O, P PE AT-BETS VAN DRUMS <br /> .:.. ... <br /> a . <br /> s z b <br /> CUBICY ROS <br /> I hereby c'ert;'fy that the above named material has been <br /> accepted and to the.best of my knowledge the foregoing �61SPC3SAL MPTNi3Ct CrO9E COMPLETEDBY LANDFILL) <br /> ) I <br /> Is true:and accurate, � <br /> DISPENSE OTHER <br /> P$OIL <br /> EMARKa _ ,.. ..... . . <br /> 0 CONSTRUCTION _ <br /> FACIE"TICKET NUM13E:R I1EL3$3I .Y' <br /> t+ONI FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> a WOOD <br /> Al 3 <br /> A A <br /> x . <br /> SPECIAL",,bTHER., <br /> SCHEDULING MUST Bi MAt3E ;I;ORTO 3.06 P M.THI DAY PRIOR'TO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARESUBJECT <br /> TO REFUSAL UPON ARRIVAL.ONGP!N 1 DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SAILS COP'( '� MANIFEST'0101766 F1 <br />