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Koller Canyon 0X "�)Untst4 ��'~ � Newby 1 6w FOlwal <br /> tSanitary Landfill ry LandfillSani � Landfill�� Landfill301 SBIdey�Rs d= I28 San Mat Road. 1601 axon :�i <br /> Road. 6999 G.Austin Road <br /> P111049,&A 94565 Halt Moon Bay,CA 94119 N 1p:t ,CA 95035 Manteca,CA 95335 <br /> Ph0-V'(925T1!58-9800 Phone(650)726=11119 Pl one'.t4O8)945-2800 Phone(209)'982-4.298 <br /> Fax(925)468-9891 Fak(6$ 726.9183. Fax(468)262.2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MAWFEST <br /> CENERATC}R WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS <br /> 7 <br /> CITY,STATE,ZIP _ REQUIS5 PSRR5NALPROTECTiVE E00I17?uIEN`i" <br /> CLOVES 0 GOGGLE �RESPIRATOR rel I�AflD FIAT <br /> PHONE <br /> CONTACT PERSON _ <br /> E s;:a etzn <br /> SPECIAL: iANDLING PROCEDURES,.. # <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE t <br /> j <br /> G EAA7s)i3Sc �rFECATl tt9ll t�f13{S�aNth hnlb frbCtVat mBtl %3�ttAt notRWA(1tS - 3 <br /> wne�r aiF r 40 t Part 241 pr tide 2^offt 'OaPb ft curio of roputagtcrstt,k" <br /> �d r�ulad a;n�Amc�aDr dti avid b pgopsr oqr for trafl�p laf am a aar ftp W appkaWu" <br /> to;'W W.AND,t+tht wasu to a#Mbar tt t"Woo of R praM}ftraty iaatY ew tourootto twtasto <br /> ",Wp to tho t ardDoposal Roar nfom,i comfy and warwt Mw t4wasta twa D000 irtoW to I ECI IVI�,.G FACILITY <br /> td&rc%wpmOwmgWtan%wis0,0CFA parrMend,.iiat er0harpftipu%wm*wdahnWoy <br /> I 40 CFA PAn 267, q <br /> WASTE TYPE: <br /> D DISPOSAL Q SLUDGE <br /> STRUCTIION � 0 WOOD � � <br /> t U DMRtS 0 OTHER <br /> t <br /> O SPECIAL WASTE _ <br /> GENE RATWO FACILITY <br /> TRANSPORTER NOTES:; VEHIELE LICENSE NUMBER TRUCK DUMBER <br /> ADOR <br /> i -. <br /> CITY,STAVE,ZIP <br /> PHONE END DUMP BOTTOM DUMP 'TRANSFER <br /> Jav <br /> SIGNATURE OFA C7I IIID A�a�T..E��3 tJRIVER LATE FtQt l:-£AFFLFLAB BED VAN _ DRUMS I <br /> fr ` Y <br /> CUB.IC YARDS. . <br /> I hereby ce ify that the above named material hasi been ." <br /> accepted and to the best of My I howl dqe the foregpinW Dspta MOD: ITO BE COMPL!"T c BY LANDFILL) <br /> oiL} <br /> is true and accurate. <br /> DISPOSE OTHER <br /> EMARKS <br /> :.3 CONSTRUCTION <br /> DEB IS <br /> FACIIw.tT'TICI€E1'AVMBffR Q WN IAB E <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT MATE71 <br /> � <br /> r <br /> U wt} o <br /> U ASAI 3i <br /> U SPECIAL OTJAEA I <br /> SCHEDULING MUST BE MADE PFIIOR''=P 314, E]DAY PR1ORT0 EXPECTED ARR I #ANY UNSCHEDULED LOADS ARE SUBJECT r <br /> TO REFUSAL UPON ARRIVAL.ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> SALES COPYMANIFEST10,1750 <br />