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0 K+ flef Canyon C1 0 0 NewbyRJ�fyl�p <br /> For arc�'Sanitary Landfill �`y Lind#ill Sar�€t� 1t �ndf ll <br /> gtlt iiey i g d .� 2 San Mateo Road 18031 DIxan L6ad � 9999 S.Austin Road r I <br /> Pl sburgf A 54565 x1,At}b an flay,CA 94119 Milpitas-OA 9 035 <br /> Phone�?25)458-9600 � ���6�?)i�9=�81� Ph��aa ��S ��5 �{t� Mall CA 95335 <br /> Fax(92,57)4-q$-9891 �Fix(650)728=39 89 F 4 -287'# Fame(2Q9)�8 009 , <br /> ( - } Fax{�S}�-'ItIt35 r <br /> NON-HAZARDOUS WASTE <br /> GEIJERA"rC�R '.N ; I <br /> WASTACCEPTANCE NCE NO, ' <br /> CITY STA QIP REO IREO P R 0ffA PRC T Tt i t liPtvtEt 7 <br /> t PHON �aLC3�lE 0 GOGGLES 0 RESPIRATOR f-1ARDHAT � <br /> Cai`I'11`ACT PERSON . <br /> Ck I <br /> 'YVEK Q OTHER. <br /> 'SPECIAL, �f GGEWAffs-, I <br /> SiGNATUI�I . I= tUTIIt3RI El AGI N ITI T9 }ATE <br /> �r�gy ,p a �•.�_ # <br /> GENS FLAIkikt5l{t't3';A"f1oM�t3gr! ]c#i'any'.tt149au 'rrt." m6um*f�flQl oCnh�uSx7rs' <br /> +VrFAte as t#4 Vt t uy <br /> 400M Part 28,oji;W4.22 of Iho CaWil coo d!fWff146ri loos b&6notopany <br /> degcribsd,e�a+t�i iss fx k <br /> aat as rautit t# L <br /> pP.ruptnr !I�srs fixltars a <br /> ;s <br /> uBrt t4 the wSrtY s!trastiYaen;ta+ w Xtrint■d ttaardi+sas irae06 . . <br /> to to 0lol .t 0d il$y as aastoft t il7�i afar w40%(a 5 bltet+touted dta. <br /> f <br /> e r> W10)gay requira at-AD ams O-W is W) ust a,MM100"r wrWo o��t€nod by RECEIVING 1�C3iLITY <br /> +b Gf R Prm fit:. <br /> _ I <br /> WASTE TYPE., <br /> I <br /> DISPOSAL0 9LLaCaCE <br /> �. <br /> - <br /> .. .. <br /> • O Gt"JNS3'RIaG1'tC7td ZWOOD a <br /> O DESRIS Q OTHER t <br /> rJ SPECIAL WASTE . I. <br /> GENERATING FAC1i„I't'' <br /> TRANSPORTER NOTES., f V )CLE LICENSE I�Lt1v18EF� I F�UCIS NUMBER r <br /> 3 <br /> WD-DRESS <br /> InESS G� .. <br /> WD <br /> CITY,STATE,ZIP <br /> PiiQ #E END L7t3M BOTTOM.DUMP TRANSFER E <br /> SIGNATURE OFAUTHORI20;OENT OR DRIVER IAT f t I - ? I S ..: FI.AT-RED VAN DI#UMS <br /> r <br /> CUBICAYA- <br /> I hereby ceritilythat the above named material has been <br /> accepted and to the best of my knowledge the foregoing <br /> Is true and CGL�i"StL',, <br /> DISPOSAL�1fE7 HQI)a (TO BE COMPLETED SY L.AND U) <br /> DISPOSE OTHER <br /> $OIL <br /> CON 'fPU TION <br /> DEBRIS a <br /> FACILITY TICKET NUMBER NCxN-i=RoAlat 5 <br /> ASBESTOS <br /> SIGNATURE,OF AUTHORIZED AGENT DATE } <br /> Q:WOOD <br /> --� -0 ASH <br /> SCHEDULING MUST BE MADE ARI6RT0 3:00 l?M.THE DAY PRIOR TO EXPEND ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. tSNGOING DAILY DELIVERIES MUST BE SCHEDULED WITH:THE LANDFILL THE DAY BEFORE. <br /> mAmFEST1,01756I <br />