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0 Keller Canyon E9 QX 10�)Untakn 0 NoW�yi } Forward <br /> • ` anitary Landfill — pry Landfill Sanitary iii Landfill <br /> 901't trey Road- !2 San Mateo Road i6o! Djxon : linq oad, 9999 S.Austin Road <br /> P$sbur ro CA 94#65 "'" �Odtf Moon toy,CA•4019 MIIPM§,CA:95036 Manteca,CA 95336 <br /> ort9 tom) 5 -98 Poke(650)726-1819 FhOM4d'E408)945- tkQ Phone(209)952.4298 <br /> ,A(q26)468-9991 Fax(6 56) 726-9188 Fax(4 8)26v=2871 Fait(209)982-1 M <br /> NON-HAZARDOUS WA T MAMFEST <br /> GENETTOR <br /> WASTE ACCEPTANCE NO. <br /> MAILING AODRESS <br /> p' 4 .. <br /> CITY,STATE,ZIP RE5UI�EI .EF sQNAL6itcTIvr=.F-QUIP ENT <br /> « - c GLOVESO GOGGLES �0 RESPIRATOR HARD HAT <br /> PHONE � ; <br /> D.Tf VL a OTHER <br /> � <br /> - t , <br /> E CONTACT PERSON <br /> as SP'ECII�t:;I tA. DOLit�G IRCCEl31IES <br /> SIGNATURE CFA'!THORiZEDAGtWNTI-nTLEDATE <br /> 4 <br /> Jf <br /> t e, <br /> GENERA'r0Fr3 0eRTEFt0AT101 1t�rt M'-ty that th9 abow�flag taoatvttial as a ttaagsrdws t <br /> wasio ao deroa d by 40 CFA Fart�#7"tsa ttkSa V of tho 00 a cards 01 , a9",Ism b"n ptow0y <br /> doyardsod,ClAt od awl pa egad,and is€rt axop catKtdtaYi# tri P60 s«*a eart�r�Eta�0�4 ea6dts <br /> k $tta�-waitws h a gnkOMOnt ttid4o W 0 pro l"Iy 0'00 CWd homdolis WIRVtw <br /> t i <br /> � <br /> aet tb 2lM wo M0161 Rosvtt sn3.F swv And wwrailt thaat"Wasto_has b"n 462ted in . <br /> A% aan"vft a otim"I"'04a CPS Pari zso aro,s'M tkznaf ar Am dma WMW doftt"W , tt ING,, PACWTY <br /> WASTE TYPF;_ _ <br /> - I <br /> 13 DISPOSAL SLUDGE <br /> 0 CONSTRUCTION 0 WOOD <br /> Q DEBRiS DOTHER <br /> 0 SPECIAL.WASTE <br /> GENERATING-FACILITY ; <br /> m. ; <br /> I <br /> TRANSP0'RTER NOTE$-,IVEHICEZLIGEN$r NUMBER TRUCK NUMBER <br /> t�as- <br /> ADL3RF.SS a . <br /> CtTY,STATt„QEF.. ;. <br /> PHONE <br /> END_QUMP BOTTOM C)IJMP TRANSFER F <br /> 1GRATU.RE C3F AU-THdR{ZEC AGENT OR.DRIVER DATE FLAT-BED VAN 40MS <br /> k <br /> x . f L) : <br /> .............. <br /> CI.ISIC YARDS <br /> I hereby certtty that the.above rterned material his been <br /> accepted and toThe beet of <br /> ray knowledge the foregoing <br /> : .DISPOSAL METIfiO (TO BE COMPLE I ED BY LANDFILL) <br /> Is true and accurate, �r <br /> DISPOSE. OTHM <br /> $} I <br /> i MARL S 0 SOI f <br /> u CONsiliurTION' <br /> FACIt,I'fVTZKETNUMBEI DEBRIS <br /> - U NON-F TABLE <br /> ASBESTOS I <br /> SIoNATURE OFAUTNC3WEDAGENT DATE 0 WOOD <br /> 0 ASM k4 r <br /> a SPECIAL OTHER I <br /> SCHEDULING MUST BE MADE PRIORTO 300 t?M.THE DAY PRIORTO EXPEND ARRIVAL ANY UNSCHEDULED LOADS ARE SUBJE�i t <br /> TO REFUSAL UPON ARRIVAL„ ONGOING DAILY DELIVERIES MUST BE SGH#-DUI EO VATH THE LANDFILL THE OAY BEFORE. <br /> LES Y � MANIFEST 0` 1.01757 <br /> � I <br />