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I Keller Canyon U Ox Mountain U 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 /> Pittsburg,CA 94565 Half Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)45$_9800 Phone(650)726=1819 Phone.(40,8)945-2800 Phone(209)982=4298 <br /> Fax(925)458-9891 Fax(650)726-91,83 Fax(408)262-2871 Fax(209)982-1009 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> =y GENERATOR WASTE ACCEPTANCE NO. <br /> Pacific Crw&F le-,-tric <br /> MAILING ADDRESS <br /> 77 Beale Steet X10 R24A 4314 <br /> ' CIT ,,ST TE,:ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> PHONE ` <br /> 9411-0 U GLOVES U GOGGLES U RESPIRATOR O HARD HAT <br /> to - U TY VEK U OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> Robgt Gray <br /> SIGNATURE OF AUTHORI E0R6E I TITLE DATE <br /> Z0'40 <br /> F <br /> _66t ATOFS CERTIFICATION:f Hereby cwtity fhat Hie above named materia!is not atrazardous <br /> waste CFR Part 261 or title 22 of the California code of regulations,has been properly <br /> e Ek Aad packaged,and is in proper condition for transportation a-�cordirig b 8ppreaWe - <br /> waste Is o treatment residue of a previously restricted hazardous Waste <br /> Dis{sasafAestr coons;l certify apd warrant that the waste has been treatiiOin" RECEIVING FACILITY <br /> , rements of'40 CFR Part 268 and is no longer ahaardous waste as defined <br /> by <br /> requi - - <br /> 1Te. ;; <br /> AS7 <br /> ❑SLUDGE <br /> ❑CONSTRUCTION q WOOD. <br /> °DEIS O OTHER <br /> ��-- hEGJAFa,W,�ASTE _ <br /> I�1`C� I�FLITY <br /> ` 'Ji ES VEHiG(= LICEIVSENEIIIBEt TRUKVUhitPSE <br /> R <br /> g, <br /> C1 LYTATE;ZIP CR n y " <br /> �+ 95482 <br /> PHONE ENP D P BOTTOM DUMP TRANSFER <br /> i'7tY7 # -107. ❑ ❑ <br /> z SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATEROL - FF(S) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> 1 <br /> zA <br /> CUBIC YARDS <br /> hereby certify that the above named material has been <br /> accepted and to the best of my knowledge the foregoing <br /> DISPOSAL METHOD: (TO BE COMPLETED BY LANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER <br /> U SOIL <br /> REMARKS <br /> U CONSTRUCTION <br /> DEBRIS <br /> FACILITY•TICKET NUMBER U NON FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> U WOOD <br /> y ' <br /> U ASH <br /> U SPECIAL OTHER <br /> MI- <br /> SCHEDULING MUST Be MADE PRIOFtTO 3:00 P.M.THE DAY PRIOR'TO 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 /> GENERATOR COPY MANIFEST# 289584 <br />