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Keller Canyon x,",p,untaln �a'J � [� Newbylslar� Forward � <br /> unitary Landfill � ey Landfill Sanft4ry lea "III landfill � <br /> 901-sailey Read ,, 12310 Sao Mateo Road 1601 01X0ra Lar3�AL�ad o _ :Austin Road � <br /> PlOsburg,CA194565 Halt Moon Say,CA 94019 MII 1tkxA,95035: Manteca,CA 95336 <br /> Phone(925)456-9800 leo (65th 726.1519 Phone(4`08)' M-280D Phone(P-09)982-4298 <br /> Fax 1,925j. 59&91 Fax. 65bZ2 -9t88 Fay(44:8 262-28I Fax(219')'482r1 mg <br /> �.> <br /> N <br /> ON-HAZARDOUS WASTE MANIFEST � <br /> GENERATOR <br /> WASTE ACCEPTANCE NO. <br /> MAILING ADOSESS465 <br /> CITY,STATE,ZIP REQUIRED PERSONAL,PROTECTIVE E+ UIPMENT <br /> y�{{����^yy _ _-GLOVES, 0 GOGGLES ill-RESPIRATOR "D#~ARD MAT <br /> e P€ 5N—E ti <br /> s' x•,ane . 'TY VEK U OTHER <br /> CONTACT"PERSON <br /> SPECIAL HANDLING PROGEDUI ESa <br /> SIGNATOR OF A)THORfZEO AGENT tTITLE DATE l I <br /> ' w a�td� .`ts�7� E" t�'EG+1 a�Y ECy 11 rs�:nnn mar�n�t rsttei�trararat � I <br /> watt asd~W40CFAPg.,4 1wt"notIpmpwrt <br /> do crataa�llxrid� prc91 � AnetC4fG+rcr��ar� ptwtlAn�r Zak <br /> q is fletetl =t�wa <br /> 3a�ci taw Land G+�;mw Raatriea'iDr• .1 caCGty e4 WaTT rN OW ftCA waste hos ban l wod.ift ... .. _-. <br /> . anco n:M Me raqutrsu*+�tts o'40 c����n 2 and*P�€ e w t r wa�m m�dmr„�a�y RECEIVING FACILITY <br /> Y <br /> cti ESA Eaan29i, <br /> WASTE`TYPE: <br /> UDISPOSAL !J SLUDGE <br /> 10 CONSTRUCTION WOOD .. <br /> 0 DEBRIS a OTHER <br /> 0 SPECIAL WASTE <br /> GENERATJNG.FACILITY _ <br /> TRANSPORTER MOTES: I VEHICLE LICENSENUMaER TRUCK NUMBER t <br /> ,�s` ��;•�.�,ek'�„.>e- a :r. fin.' .. -. .::.. - , �� � � - <br /> tlLk19F1ESS <br /> CITY,STATE,ZIP <br /> Iot I NE ERIC OUMP 136WOM T3UMP TRANSFER # <br /> ' SIGNATURE OFAUTHORIZEO A5ENT OR DRIVER 6A7E Rt3LL. FLAT-BED' VAN ORUMS <br /> L) Q Q <br /> ° <br /> GL)BICY RDS . <br /> hereby certify that the above named material has been <br /> IT_ <br /> accepted and to the best of try knowledge the,foregoing trls�o AL METHCarss (TO BE-COMPLETED 6Y t A 11Fc I) <br /> is-true and accurate. <br /> h DISPOSE OTHEF <br /> EtvIAFiI{.S G CONSTRUCTION <br /> FACILITY TICKET NUM8ER C 81aIS <br /> Q NON-FRlASLE <br /> ASBESTOS <br /> SIGNATURE O AUTH0131ZED AGENT DATE <br /> 0 WOOD t <br /> 0 ASS �� I <br /> fJ <br /> U SP CIAt OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P'M:THE DAY PRIQR"I O EXPECTEID ARRIVAL#APPY UNSCHEDULED L LADS AR SSt,EBJE CT <br /> TO REFUSAL UPON ARRIVAL, pNGOING DAILY -DELIVERIES MUST BE SdHEPUL.ED WITH THE LANDFILL THE DAY BEFORE. <br /> SAL E4 WFY MANIFEST# 101764 <br />