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IJ Keller Lanyon U ux mountain u tvewoy isiano rorwaro <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(9,25)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 /> Ow&El&_eric <br /> MAILING ADDRESS <br /> 4314 <br /> Beale S .AII- "B24A <br /> CITY, STATE,ZIP REQUIRED PERSONAL PROTECTIVE EQUIPMENT <br /> _i <br /> San rpncisco,CA94120 O GLOVES 0 GOGGLES O RESPIRATOR 0 HARD HAT <br /> PHONE'(415)973-37 O TY-VEK 0 OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> R Orgy �f 4�� <br /> SIGNATURE OF AUTHORIZED AG /TITLE DATE <br /> GENERATOR'S CERTIFICATION:1 hereby certify that the above named material is not a hazardous <br /> waste as doe l t>y 4TO CFR Part 261 or title 22 of the California code of regulations,has been property <br /> descnbed gagSfied and packaged•and is in proper condition for transportat on a cording to appl cable <br /> regtilabotls AND,,if the waste Is a treatment residue of a previously restricted hazer <br /> waste <br /> {a Disposal,Ftestria*ns.I certify and warrant that the waste has been treated in RECEIVING FACILITY <br /> requirements of 40 CFR Part 268 and,is no longer a hazardous waste as defined by <br /> y <br /> Q SLUDGE <br /> TRf)GTION U WOOD <br /> }$ U OTHER <br /> TY <br /> r s Ston I,ATHROP <br /> NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> i6,ii��tdtion <br /> A,D ES$; <br /> couft <br /> CITY,NATE,ZIP <br /> 9U92 <br /> PHONE END DUMP BOTTOM DUMP TRANSFER <br /> SIGNATURE OF RI NT OFi RIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> �.. 0 ❑ ❑ ❑ <br /> �a _ <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 /> 3, <br /> is true and accurate. <br /> DISPOSE OTHER <br /> t 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 /> U ASH <br /> U SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIOR TO 3:00 RM.THE DAY PRIOR TO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> ?O REFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHEDULED WITH THE LANDFILL THE DAY BEFORE. <br /> GENERATOR COPY MANIFEST# 2 8 9 6318 <br />