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El Keller Canyon 0�OY �)utntairt, Newby. Islar Forward <br /> zSanitaryLandfill Sa y Landfill Sanitary L � �I Landfill <br /> 90 flay Road ����o fan Mateo Road 1601 from Lan Road �r .� 9999 S.,Austin Road <br /> a. <br /> PittsbUrg,CA 94565 waif mow Bay,CA 94019 Mllpit ,CA 05035 Manteca,CA 95336 <br /> Phone(925)456-9800 Phone(650)726-1819 Pho4',"14 )945-2800 Phon 2�l9�982 42913 <br /> FssC� 2S)458-9891 �. Fax(650)72,6t9183 Fax( #8)262=287 ' Fax(209)9821909 ; <br /> & <br /> NON-HAZARDOUS WASTE MANIFEST <br /> Tr <br /> F EFtATC)FI <br /> WASTE ACCEPTANCE NO, <br /> MAILING ADDRESS <br /> t 6. <br /> CITY STATE,ZIP LIQ 'I:i:i D ER OUAL:PR5TE TIVE EQUIPMENT i <br /> ' PNt)Nt <br /> Ga�'gL{OYES 0/GOGGLES n RESPIRATOM HAA8b HAT <br /> .CONTACTIER <br /> PERSON SPECIAL: ANbL N±3 PIIOG1 DUD S <br /> SIGNA-F URE OF=AUTI-ORfZED AGr=NT/TFTt E CtATE { <br /> g yy <br /> � <br /> GEI'9"TOWS CE R71F+CA'00t4:t' IWVN tfita"Jibovs AO#,Ad nVar st is nota hazardous <br /> Fly1Of4"o tm t pD <br /> 5 1D!�ft wtayt t# rcaStry M rbpt22 of rfta C01Yard1)'fl tY�9 of G$44?ia r1R,Mm E7 (4piRt <br /> ;G49�sot1'�41,d0flftOd Q a�+l�#.ia�t acrid(s#s propar'Lraori Eor h r�FS{9443�#�sn a"t�r+�lr�tra c4su�aErto <br /> d4*of A grt`+Ioush'restt9atosl h e cm*ss#a - - <br /> I <br /> tutrJset to the Land tis 2oa81 Ftssrra�a0st�;I amity a8+rant ft*at ih0 wAsta h sp bae�s lraatod rra <br /> ascxordsr WrTY <br /> +titw5l+[ GSA a 9FI o .r¢n jbhgo{F�t ars rsua wa a a x c4s8ini d by RECEIVING, i' { <br /> i <br /> WASTE TYPE; <br /> t <br /> O DISPOSAL 0 SLUDGE � <br /> i <br /> Li CONSTRUCT04 OW000 ._ . <br /> Q DEBRIS C1 CTHE-A , <br /> &3 SPECIAL WASTE' I <br /> I <br /> GENERATING FACILITY <br /> — F <br /> yt <br /> 3i�A_�FI <br /> TRANSPORTER NOTES" ,UEI IbLP_Lf SE NUMBER TRUCK NUMBER <br /> F <br /> , <br /> , <br /> CFTY,STATE,ZIP I <br /> PHONE <br /> END DUMP .- ,. 1TI`C.3M DLltvtP TRANSFER <br /> 91GNATUAt OF A11'i`!iORIZED AGENT OR DRIVER ATE FICtLL•tr71=1" . FLAT-BED MAN DRUMS <br /> cusli <br /> Ihereby certify that the above named Material has been � <br /> accepted and to the best of qty knowledge the foregoing <br /> DISPOSAL METHOD: {TO BE COMPLETED 5Y LANDFILL) <br /> } � <br /> Is true and'.accurate. <br /> .DISPOSE OTHER <br /> t I <br /> SEMARKS _ <br /> U.SOIL i <br /> 0 ON TAuc"nON <br /> FACILITY TICKS `NUMBER DEBRIS! <br /> U NON-F IABLE <br /> ASBE$TO-S <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> - a WOOD <br /> 0 ASH � I <br /> SPECIAOTH FI <br /> F aL. I <br /> SCHEDULING MUST BE MADE PRIORTO 3*00 F?M.THE DAY PRIOR TO EICPECb't`ED ARRIVAL•ANY UNSCHEDULED LOA[!', ARE SU1 JECT <br /> TO REFUSAL, UPON ARRIVAL, ONGOING DAILY DELIVERIES MUST BE SCHEisULED WITH THE LANDFILL THE DAY BEFORE <br /> SALES COPY � <br /> MANIFEST101752 <br />