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❑ Keller Canyon ❑ Ox Mountain ❑ Newby Island [Forward <br /> Sanitary Landfill Sanitary Landfill Sanitary Landfill ��'''Landfill <br /> 901-13ailey: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)458-9800 Phone(650)`726-1819 Phone(408):945-2800 Phone(209)982-4298 <br /> Fax(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 /> PacTic Gas <br /> MAILING ADDRESS. <br /> 77 e 1 Stop A 431-4 <br /> CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> San Ftco CA 9412t}'' 0 GLOVES 0 GOGGLES 0 RESPIRATOR 0 HARD HAT <br /> PHONE <br /> (415).973-3773. 0 TY-VEK O OTHER <br /> CONTACT PERSON <br /> RD.beltGrav SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTH RIZEDAIT-/_TIT DATE �j/�/'✓/� <br /> GENERATOR'S CERTIFICATION:I hereby certify that the above named material is riot a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> described,classified and packaged,and is in proper condition for transportation a,cording to applicable <br /> regulations,AND,If the waste Is a treatment residue of a previously restricted hazardous waste <br /> .suI`$ land Disposal Restrictions,I certify and warrant that the waste has.been treated in <br /> bts�tRECEIVING FACILITY - <br /> .r adcordance:with the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> 40CFR0�261. <br /> WA TE TYPE: <br /> DISPOSAL' 0 SLUDGE <br /> O CONSTRUCTION 0 WOOD <br /> 0 DEBRIS O OTHER <br /> ❑SP <br /> GENERATING FACILITY - - <br /> 7_azhir%p Dehydrator St�-.E re LA1T1,?O'� <br /> iRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADDRESS _ - <br /> T�fJ Oc'Y.I�s'5tis�..;fI:3$• <br /> _t <br /> CITY,STATE,ZIP <br /> N in&MCA 9541? <br /> PHONE END DUMP BOTTOM DUMP TRA SFER <br /> 307)8381401 ❑ ❑ <br /> SIGNATURE OFAUTHORI AGENT DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> ❑ ❑ ❑ ❑ <br /> CUBIC YARDS <br /> -1 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 /> 0 SOIL <br /> REMARKS <br /> O CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> V. O WOOD <br /> 0 ASH <br /> O SPECIAL OTHER <br /> SCHEDUUNG 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 /> GENERATOR COPY MANIFEST# 289586 <br />