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U Keller Lanyon LJ ux mounialn U IVewDy Islano ] i-Orwara <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)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 /> ,A <br /> NON-HAZARDOUS WASTE MANIFEST <br /> ENERATOR WASTE ACCEPTANCE NO. <br /> C�s&Electric <br /> MAILING ADDRESS <br /> .Stop B24A 4314 <br /> ,f CITY,STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> F2 zXe,CAg4I?0 <br /> PHONE ❑GLOVES Q GOGGLES O RESPIRATOR U HARD HAT <br /> ( 973-3773 O TY-VEK O OTHER <br /> CONTACT PERSON <br /> Rte SPECIAL HANDLING PROCEDURES: <br /> SIGNATURE OF AUTHORIZ D AGENT/TITLE IDATE A jt;e� <br /> :GENERATOR'S-CERTIFICATION:1 hereby certify that the above named material is not a hazardous <br /> waste as defined by 40 CFR Part 261 or title 22 of the California code of regulations,has been property <br /> N described,classified and padcaged,and is in proper condition for transportation a-cording to applicable <br /> c ...regulations;.AND,If the waste Is a treabnent residue of a previously restricted hazardous waste - <br /> sut�jeG to,the Land Disposal:Restrictions.I cerfify and warrant that the waste has been treated in RECEIVING FACILITY <br /> accordantce with-the requirements of 40 CFR Part 268 and is no longer a hazardous waste as defined by <br /> `.40 CFR Part 261. <br /> WASTE TYPE: <br /> 1SP0SAL 0 SLUDGE <br /> Q CONSTRUCTION U WOOD <br /> EBRIS ❑OTHER <br /> D SPECIAL WASTE <br /> ENERATING FACILITY <br /> DehydMiec' :ticSn L4TI OP <br /> TER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> DRESS i �+� >� 72— <br /> "t2O DenBese Coat/ <br /> CITY,STATE,ZIP ( 1 C <br /> WWwCA9502' q <br /> PHONE q END DUMP BOTTOM DUMP TRANSFER <br /> 70 838-1407 L11 ❑ <br /> SIGNATURE OFAUT}iORIZED A,GENJ OR DRIVER DATE ROLL-OFFS) FLAT-BED VAN DRUMS <br /> 1 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 /> O SOIL <br /> REMARKS <br /> Q CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> ❑ NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTHORIZED AGENT DATE <br /> 0 WOOD <br /> O ASH <br /> 0 SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:00 P.M.THE DAY PRIORTO EXPECTED ARRIVAL a 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# g Qici R n i <br />