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yon <br /> wS Hoary andfill sem. t r y Il t <br /> l-anttfDttoIr <br /> sit Iley R a t t >�a d rt l !il Landfill <br /> * ltl Ltrg,CA 9 9 Ha€fi Moon Say,.CA 9 1 1 t til n Road 9999 S.Austin Road <br /> R�sr o t 2 x} 8,98WMitp�� ao'CA 9 a�}35 Marti CA 95336 <br /> P One{660)7 6-1919 €h9rt .'.( t 6 . 46 <br /> ( s <br /> -9891 � H� (96p} 726.9183 FaX(� 8) _,2871 PhOne(209) 82.-4298 � <br /> Fax(2o9)982-,009 <br /> NON-kAZARDOUS WASTE MANIFEST <br /> GENERA OR <br /> WASTE ACCEPTANCE NO. <br /> MAILING ADQRESS,� f <br /> 5 <br /> CITY,STATE ` t� �.., <br /> . 2 `a4 a° r FE�UI E PEIJNAL RGT ETIVEtil�PrtENT f <br /> 3'IIC3t Et CaLbVE 0 GOGGLtS Ct RFSFIRATOh 10 HARD HAT s <br /> CC3�ITAI�T PERSC#I Q TY VEIL Q SER <br /> p, r :y icx SPECIAL-IIPROCEbRES- <br /> i SfGt��TIIE�E t�R At1�Hf3R1Z�}At�EtuT 1'fid?'LE C,g3"E r„ <br /> 77 <br /> I tai#1T ,. mist'cuRf�7 tea tl aama miara2als nod of iq <br /> p p de�r �y 4Q CS......... <br /> A Pmr3 k�f iE€ 22�f ai3�C�#pozrek t4............................ <br /> e�a tai tgaflatt ,tie q 8it.Pa a} <br /> sta fait f tit 11 puc s mat, ik Moor oor aawid'rl;mrr i NAR <br /> mFi <br /> 1141 wseg ,ak 1tli7sttta n?rt�aeuo 09 t rrtnvbuai i Wtict;d hitfraiauib weea�i> <br /> *Ub;;yar w m1D Land Dta q figm&rr"Ja i aa'iTy rrgirXt a that tt c w a' fwAm�b8ri tr afmd by <br /> mE ra?!h ata rpWrtn��s tiGFptt <br /> 44CFR diY2 <br /> RECEIVING.FACtLtTY - <br /> ` <br /> ' t <br /> BASTE. <br /> Q DISPOSAL r3 SLUI�C <br /> 000NSTRUCTION _. R:�DOD DEBRISk <br /> UOTHER <br /> Q SPECIAL WASTE <br /> GENE RAPNG FACILITY <br /> 4 <br /> zs r f <br /> t <br /> TRANST' I I=R NOTES». VEHICLEUcr=NSS IV iMsEA TRUCK MUMBEE� <br /> « 7s-^'t°/a <br /> CITY,a%STATE, I <br /> PHONE ENCS DUMP BOTTOM DUMP TRANSFER � I <br /> SIG X_TU.RE OF AUTO 1 ]ZED AGENT OFA L3RVER DAT15 ROLL PP(5) IST RED VAN DRUM IS <br /> CUBIC YAC _ - - <br /> ` I hereby certify that the abovenamed material hay baste <br /> accepted and to the best of my knowledge the forego[Ing tsIBP SAL M THCD ^ "CM j3E C0MKETE0 ICY IANDFILI). <br /> Is true and accurate <br /> 01$POSE OTHER <br /> SQI . <br /> Ef�A IKKS r <br /> ' <br /> cnom <br /> FACILITY I"itJKET NUMBED i�E61�16 <br /> Irl NON-FRI 9LE _ <br /> SIGNATURE OP AUTIMtO Ai7ZECD Q§qf DATE <br /> WOOD <br /> 0 ASAI ;. <br /> SPECIAL PTHE R: <br /> SCHEDULING MUST BE MADE PRrt RTO 3.00 R M.THE DAY PF IORTO EXPECTED A tFWAL:-ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST 13E SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COPS �� MANIFEST� 101760 <br />