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Kellet Canyon 0 I�ew>�y 1�1�1�� I Forward I <br /> e--Sanitary Landfill � � L��d 11 � � n1 � � � �al�dflrtl � <br /> U" 901 t� Roan. x y6 s �. .< <br /> 12x1 ;�,h at6 Nod 1601 Dixon La R�ad�� � �' ��99 S.Au��rs ��� � <br /> f ItSS t rg,CA 8 565 t lf" tram A 94 t0 Md IMM, CA,9!W6 <br /> Ph�ai1 (925)456-9 QQ Prro a(Q 0};72, X61-9 PhO e 406)�9�45 2 {3 A Phone(209)q 2-4M <br /> Gaut(925)4558.9891Irax6 )"72 .9163. - Faux 4£�6)202-2671 <br /> ( Fax(2013)982:t pg € <br /> WASTE =PuNcE No. <br /> CIT' .STATE ZIP <br /> ` u(8 Q PEF3SO IAL PR TE GYNE ECQLIIPMENT <br /> PH5W a..�, OL?1fE0 GOGGIES Q BESPIFIATOR fit[?HAT i <br /> 'TY VE `z t HER <br /> CONTACT <br /> SON' <br /> SPECIAL f�ANDLING'PROCEDUPES; <br /> SIC1iTt7RE OFAUTHt)FiIZE[3 AGENT—IT ITLE SATE <br /> OFN8-F-a"ORAS'CEATiFJCATa I ofiroby pwtgyvwq",ab cod'ngannaarsi�ris�t +�t saxe+rdc : <br /> wsa€R be oar 4n G!1#f si t dr luk 22 a!the tip mgs tt a} M*t boon 11"aily <br /> d i ca , . . _ <br /> P , kt tbr4 t rk ttfp f4 Cir trge p#t#§Gta�^cufiifit 2a : <br /> a��x1�ANA If!he'waxte t�a kra rant resCdw c€t�Pf*v14!�fy faaft4ctexl hmxnrdpu�w�r3s � <br />� 9 <br /> toles€ fo Pftpftal Rssird#!rxrs.4enify Brut dnanl t Q trwauq K. RECEIVIrto FACILITY <br /> i <br /> nr�grQa�s w,th ren�rarrdats�'+ta_ P��2sa i3 r� r a tgttklua� ?����fig' <br /> 40 CFh psa 291, <br /> WASTE TYPE: <br /> - <br /> DISPOSAL' Q SLUIDG <br /> ) Lt Ct?NSTRl1GInQN r WOOD <br /> 0 OTHF.A. <br /> U SPEC44 WASTE <br /> GENERATING FACILITi! <br /> I TRANSPORTERNG1TE5: �dEH►�IfWE LiCENS �l�iv�I�EF� TRUCK NUMBER <br /> ' Aitl SS € 9 <br /> a <br /> CITY,STATE,ZiF 1 <br /> a i <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> { SIGNATURE OFAIIJTHORtZE5 AGENT UR DRIVIE DATE 140k.LI0 i= 4-.SIM VAN 0RU <br /> x <br /> G,USIC YA DS _ <br /> I hereby certify that the above named Material has.been, 3� <br /> 4 <br /> eapepted and to the best of my knowledge'the foregcing <br /> DISPOSAL E�B� � ? I <br /> (1"43, C*A#iF�€.�TED fir*t ANDF-ILI-), <br /> s true anti Ic Urate. <br /> ISEoE OTHER . <br /> E 5 1L, <br /> FACILITY TICKET NUMBER g <br /> 0 NON-F IABLE I <br /> ASSESTPS E <br /> SGNATURE OF AUTHORIZED AGENT. DATE` � r <br /> u.W00D <br /> e #-• 0 ASH s i <br /> E <br /> SP AILOTI-IF-R <br /> amwkh <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M TM DAY P RIORTO EXPECTED ARRIVAL,Af+iY UNSCHEDULED:LOADS ARE SUBJECT" , <br /> TO REFUSAL UPON ARRIVAL, ONGOING DAILY,DELIVERIES MUST 13E SCHEDULED WITH THE LANDFILL THE DAY BEFORE. I <br /> LAS <br /> Ma4rdIFEST1017 <br />