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-L'A IIer Canyon € y'--'-«!Mainx ! Newt IslamEl Forward <br /> altlt l�►` ar�+df 11 a�, � ry ndfIll SanMryy U lir Landfill : <br /> 9q1 Batley Road 12316 San Mated Rdad 1601 Divert LarI64 Road 419999 S.Austin Road <br /> Pitaburg,OA 94565 Half Moon Say,CA 94019 Milpitss CA 95035 Manteca,CA 95336 � <br /> F�hlbnea (925) <br /> `4 98 <br /> PI IBaQ)726-1819 Phone <br /> 408)845-9800 Phone(209)982-4298. <br /> Fox(£50)726-9183 Fax(407)262-2871 Fax(2019)982-1009WASTE ACCEPTANCE NO. <br /> i <br /> s - 3 <br /> M <br /> AILING ADDRESS t <br /> -_ <br /> IT4;SiATEx ZIP <br /> r M REQ <br /> E TiVQ I VV <br /> T <br /> GLO PONE x .E RESPIRATOR HARD <br /> ` . <br /> CONTACT P � 0 T`�!VENC } OTHER s <br /> ERSON # <br /> a <br /> } :_ *dci - -- SREI�IA�.�-tANDlMINa t"F$dCE3t1FIES: <br /> SIGNATURE OF AUT QRJZED AGENTMTLE CRATE <br /> >p g� <br /> GENERATOPC$CFRT1F1CATT0RdAfk0r*0Wh y tro O a4avdt amsdmatedal itacg7t"atY:a" <br /> vests as dsl rW I%y 40 CFR Put f o=#ort 72 0 the 064mta coda a#toga kns,hes bw Pr +1`r° <br /> d t4beetx t assiflrxt nd pse3ca rtd Wn PM C"ditatr;dttrara t:�l ce, ; m lk r1� f <br /> r IuSota;ANO,It the arastn s a t'mmm"t�DtPldue of R prsv1ou rsr fst0 hYea#rduus wotta it <br /> eau sa tl l arm o3sw�aa to s r csu l ez n±y a J w a t t to at l e�Nun trolkloo 0 RECEIVING FACILITY <br /> 171E <br /> aewramwrowNhixeresw€ a C Pa-rt d sraytp r€a nr�Rda Wavis43oak by <br /> WASTE TYPE; <br /> DISPOSAL 3 SLUDGE. <br /> Q CON$TRU UON O WOOD s� <br /> DEBRIS Q OTHER <br /> 0,SPECIAL WASTE. -- -�- <br /> GENERATING PAOLITY <br /> ,t .. <br /> ... ,.... ...:. <br /> TRANSPORTER " N0TES. a VlalxilDLE LICENSE t UM858 TRUCK NUMBER <br /> ADDRESS <br /> vi <br /> ,-t'.xr ; G, - �—,,4 <br /> 67STATE,ZIP t <br /> ,sty, • . " 1 � <br /> PHONE - N P BOTTOM DUMP TRANSFER 3 <br /> DATE R L--OFFS X11-BE3. . VAN DRUMS <br /> SIGNATURE 0FAL1TH—URIZE[3 AGENT OR 0RIVER � <br /> - w 4# <br /> CtSNC 1'AFtDS. <br /> I hereby certify that the alcove named material has been <br /> accepter and to this best of my knowledge the:torregoln DISPOSAL METHOD:: (TO BE DOMPI�TI D 6v LANDFILL) <br /> is true arid.accurate,. � <br /> } DISPOSE OTHER <br /> SOIL. <br /> REMARKS § <br /> 13 CONSTRUCTION" <br /> FACILITY TICKET"NUMBER DEBRIS <br /> 13 NON-FRIABLE <br /> x ;ASBESTOS ; <br /> SIGNATUIIE;OF UTHORIZE 7 AGENT DATE <br /> l V`ool) � <br /> 1 <br /> f O AS1 <br /> SCHEDUUNG MUST BE MADE PRIORTO 3:00 P.M,THE DAY PRIORT'O EXPECTED ARRIVAL:ANY"UN SCH OULED LOADS ARE S1,1E3JECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED wrrH THE LAND ILL THE DAY BEFORE. <br /> IS OOH <br /> tJtAPfIf ESi 101765 <br />