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Meller Canyon E3 Ox' )untaln New 1 1 vrward <br /> r Ganitary Landfill Sanit ry 1,11 Lanciftil <br /> 901- it y Raad - 1zSara Ili tc o R©sal 16t;1 Diion Uli6g 19oad - 9999 S,Austin Road <br /> Pitt�atg,CA 91SS5 Half Moon P4 ,CA 94019 Mllphss,�CA 915036 Manteca,CA 95336 <br /> Phorte•(925)4589800 a Phone(65 ) -1619 Phone 01945-2600 Phone 1209)982-4298 <br /> Fax(925)458-9891 Fox(650)76-9183 Fix(40 1262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENEftATOR WASTE ACCEPTANCE NO. <br /> a y� <br /> MAKING ADDRESS <br /> CITY STATE.,ZIP RE <br /> GlillR RSQNAti PPR j7TEZ5T[lE EQUIPMENT <br /> PHONE I CLCVFS� GOGGLES b liESPIRATOR 10 HARD HAT <br /> i <br /> Q TYWEK U OTHER <br /> CONTACT PERSON <br /> SPECIAL HANCIiVRCEDFlS: <br /> SIGNATURE OF AUTHORIZED ACE.N7'/TtrLE JDATE a <br /> } <br /> 0ENt KTOR'S d-OMFICA J:t aof,ty ftl a namrci iri�t }ar nst e r award as ? <br /> WIL 88 416#00►by aft CFR Part M iwieCla 22m Chit ciamova oda of fog4intians,has"on pmpe ry- <br /> Ownbatl alam,4106 Bnd gaakapat!as tS M proper )ftn tar i'loti a-zo �r�v*app$*W <br /> to AND.tt wtrtl!t r trOrint4nf flrld6tiY of a p�dbnr#y'�triatad hazerdCut wMaN: • - - <br /> «ut ap to 010 Land CHI Rest+ek nr r c t4 and ream ural tho�Hata �s t rrtpuou�it on RECEIVING�iVl�) FACILITY: I <br /> auwrrslares ihn roseutreritanas 0,4 iG17Fli Part 28B &s nu Ion"*is mows Wsata of z189ined1>y <br /> #QGPFt isr�s�7, <br /> 'BASTE TYPE: <br /> 0 DISPOSAL O SLUDGE <br /> U CONSTRUCTION 3 WOOD <br /> 0 DEBRIS tIOTHER � <br /> a SPECIAL WAST <br /> GENERATING FACILITY .. <br /> j TRAiNSSPOR i-ER NOTES: VE1-116LE LICENSE NUM13ER TRUCK NUMBER .. <br /> CITY,STATE,ZIP x r <br /> ii <br /> I Pti9CyE END:i7U {P .. OTT43Ev1DUMP TRANSFER <br /> 5N�I T-UF E OF AU'i'HORiZED AGENT 08 DRIVER DATE RC» G) F S� EI AT-BED VAN DRUMS <br /> j}jJ[ <br /> a <br /> CUBIC XARDS . . <br /> I hereby certify that the above named material has beerl <br /> accepted and to the beat of my knowledge the foregoing DISPOSAL[M THOI� t�C 88 COMPLETED 8Y LANDFILL) <br /> F <br /> Is true and accurate. _ l <br /> {i DISPOSE OTHER <br /> Q SOIL <br /> EMARKS <br /> CONSTRYC71014 <br /> I <br /> FACILITY TICICE"T Nt9MBER <br /> 'DEBRIS ?? <br /> Q LION-FRIABLE <br /> AB 'I'OS I <br /> SiGNATUHE OF AUTHORIZED AGENT DATE D WOOD <br /> 0 ASH <br /> g P U SPECIAL OTHER. <br /> z <br /> SCHEDULING O3a00'P.M.'T►F-bAYPRIORTOEXPECTED.AK IN'ALOAt+iYUNSCH DULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL,ONGOING DAILY DELIVERIES MAST SE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> MANIFEST# <br /> SALES COPY � 101762 <br /> $ # <br />