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❑ Keller Canyon ❑ Ox Mountain ❑ Newby Island Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 901 Bailey Road 12310 San Mateo Road 1601 Dixon Landing Road 9999 S.Austin Road <br /> Pittsb�00,CA 94565 Half Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> < <br /> Phone(92%458-9800 Phone(650)726-1819 Phone(408)945-2800 Phone(209)982-4298 <br /> Fa(925)458-9891 Fax(650)726-9183 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> GENERATOR WASTE ACCEPTANCE NO. <br /> "Pacific G53&EleYtric <br /> MAILING ADDRESS <br /> ,77 e met,Mail Stop W24A <br /> .. <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> t, <br /> $ 3raic+o,CA 94120 U GLOVES O GOGGLES O RESPIRATOR O HARD HAT <br /> PHONE <br /> k415)V73-J'/-73 O TY-VEK O OTHER <br /> .: CONTACT PERSON <br /> SPECIAL HA <br /> Ctra y NDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZED AGENT/TITLE DATE lvolu <br /> GFI1_ 1�A'S CERTIFICATION;I hereby'ceI the above named material is not a hazardous <br /> w _ Rfi4ieA by 40 CFR Part 261 or title 22 a California code of regulations,has been property - <br /> ' ified and packaged,and is in proper.condition for transportation a, abl <br /> cording to applice <br /> .� regulad'ons;AND,h the waste Is a treatment residue o1 a prevbusly rostrkted hazardous waste <br /> subiea 16 ttte Land Disposal Restrictions,I certity and warrantthat thewaste has been treated in RECEIVING FACILITY <br /> accordance with the requirements of 40 CFR Pail 268 and is no longer a.hazardous waste;as defined by <br /> - � 40 CFR Part 261: <br /> WASTE TYPE: <br /> ISPOSAL O SLUDGE <br /> CONSTRUCTION O WOOD <br /> EBRIS O OTHER <br /> f, vy„PECIAL_WASTE= <br /> BRart lILiTY <br /> (� y ”` S <br /> <br /> <br /> <br /> <br /> �?�� <br /> CITY,STATE;ZIP:. <br /> tai ,CA 954?L Iv c <br /> s PHONE j" END DUMP BOTTOM DUMP TRANSFER <br /> <, 707 83 -I40 n, i.' L) ❑ <br /> SGNATURE OF UTH RIZED AGENT OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> x ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> hereby certify that the above named material has been • <br /> accepted and to the best of my knowledge the foregoing DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) , <br /> is true and accurate. •� <br /> ' DISPOSE OTHER •� <br /> U SOIL •� <br /> EMARKS <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> U WOOD <br /> i <br /> U ASH i <br /> U SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> (,FNFRATnR MPY MANIFEST# q Q a( 1 n <br />