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jNevli ain91 ForW yd cr <br /> ;Sanitaryl.an' I`"df[il � L,aa�tffill p say t&�ry Lt `�f n Landfill <br /> '00.1 Bailey Ftva1 �� 1231 Sari Mateo Road 16bdOxon,Landing Road,— 9999 S.Austin Road I <br /> Pittsburg,CA 9450v-; Won on Bay,GA 94019 MiIpWt ,CA.95035 Manteca,CA SSM6 <br /> ptl6ne 25 58-98Dt3 Phone(650)715wi819 Phone t4*945-2800 Phone(209)982-4298 <br /> i <br /> ;:rax X925)458-9891Fax(954 726»9181 Pax�4d8�X62-2871. Fax,(209)982.1009 <br /> FEST <br /> GENERATOR <br /> WASTE ACCEKANCEN0. <br /> MAlleINS ADDRESS _ ;� <br /> CITY,STATE,ZIP REQ IRE0 P R OVAL PROTEUTIVE EQLJIPM1EIT <br /> s r 31 GLOVES -0 GaOOGLE Q-AESPIRATOR M HARD NAT <br /> � 6E <br /> 'TY VEX 0 OTHER� <br /> CONTACT PERSON <br /> PECIALI 1ANDLING PPOCEOURES, <br /> SIGNATURE OF AUTHORgET.�A' ENT ITITLE DATE <br /> i <br /> GEMERMORZ 0EnFIgA`!MX f r Dar%Ny VVI the otwda carr"n�lO441 Fs mi a I <br /> Wesaasd f�ts�ttsy SFRtor�l00 01`1 0014gar#CarleaiM2u(al�aM,hasG�eana <br /> dowAbotd,daxsifsd and paekagevt, t as To p rw4fion for trsropwWon avof&V 4o r4pW � <br /> we�crs!,a4�a�,xr��ta�� �t�s�sst��ua�� sa�M.r��rta�eatsasdoa�swl: - <br /> set act aaihaL&r40mp"1'P#V6wkww,I cutlIfy andwaftam tai lhehAmeWooimimatodln REGE)VING FACILITY <br /> y aemdarjO With 4*€#W 1w"of 40 OFA Part 268 Aft0 is no Sts q*i L(tazArr wk t m!Q At tW 4Y, <br /> F <br /> 44)crpPart261e I� <br /> WASTET`PE. g <br /> iU DISPOSAL � 0 SLUDGE" <br /> CONSTRUCTION 0 WOOD x� <br /> C1 DEBRIS 0 OTHVI <br /> Z)sPS''AL WASTE g <br /> f <br /> GENERATING FACILITY <br /> ) <br /> rt <br /> r <br /> T A SPORTER NOTE . 1. EHICLE LICI NS6 NUMBER TUCK NUMBER . <br /> F <br /> ADDRESS <br /> I <br /> `T "•: `. t <br /> CITY STATE.,ZIP <br /> , <br /> S _ <br /> Ll <br /> PH NE END.DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE .FTU-THORI�E ENTN3 DRIVER DATE AT3L -OFFS FLATBED VAN DRUMS <br /> Gl i� <br /> t � <br /> " L <br /> 3 <br /> . _ ......... ........... ............. ..... ............ ........ ......... _ _ .. <br /> CL151C YAFII <br /> I hereby certlfy that t.he abo named materlal has been <br /> accepted and to the best of'rr>y kriowlid§pf the foregoingNSPOSAl rMETt OIX BE COMPLETED I3Yi AtJLiFliy <br /> is true and oc urate. � # <br /> DISPOSE OTHER, <br /> I <br /> 0 SOIL <br /> EMARKS <br /> ,U CONSTPUCTIc <br /> FACILiT'0r'"T fCK T NUMBER <br /> IS R:tS. I <br /> LI NON-FAIABLF <br /> ASBESTUS <br /> SIGNATURE OF AUTHORIZED AGENT DATE.: <br /> woo <br /> I i <br /> A <br /> U.SPECI�L OTHER <br /> SCHEDUUNG MUST BE MADE PRIDRTO 3:00 F!KTHE DAY,PRIDRTO EXPECTED ARRIVAL!ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIV"A! ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> • <br /> SALES:C. 1< � MANIFEST# <br /> _ _ 01767 <br />