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El Keller Canyon <br />Sanitary Landfill <br />901 Bailey Road <br />Pittsburg, CA 94565 <br />Phone (925) 458-9800 <br />Fax (925) 458-9891 <br />❑ Coffin Butte <br />Landfill <br />28972 Coffin Butte Road <br />Corvallis, OR 97330 <br />Phone (541) 745-2018 <br />Fax (541) 745-3826 <br />El Ox Mountain <br />Sanitary Landfill <br />12310 San Mateo Road <br />Half Moon Bay, CA 94019 <br />Phone (650) 726-1819 <br />Fax (650) 726-9183 <br />v <br />El Newby Island <br />Sanitary Landfill <br />1601 Dixon Landing Road <br />Milpitas, CA 95035 <br />Phone (408) 945-2800 <br />Fax (408) 262-2871 <br />® Forward <br />Landfill <br />9999 S. Austin Road <br />Manteca, CA 95336 <br />Phone (209) 982-4298 <br />Fax (209) 982-1009 <br />CEIERATOR <br />WASTE ACCEPTANCE NO. <br />Joaqa Count Of <br />IifA1LING ADDRESS— <br />6881 <br />Ice ADX 175 IU <br />CITY STATE, ZIP <br />REQUIRED PERSONAL -PROTECTIVE EQUIPMENT <br />on, ` Y5201 <br />GLOVES ®GOGGLES ❑ RESPIRATOR XO HARD HAT <br />HONE <br />09) <br />09) 468-3466 <br />D TY VEK 1:SAFETY VEST <br />CONTACT PERSON <br />A*, <br />Perez <br />SPECIAL HANDLING PROCEDURES: <br />SIGNATURE OF AUTHORIZED AGENT ! TITLE DATE <br />d <br />TUR S CERTWWATM. I hm ANY MM dm a*s named materiel s nm a hazardous <br />as defined by 40 CFR Part 261 or title 22 of the Ce cak of regulations, has been property <br />classified and and is in to <br />Psdw4pd. pnw conoan a-cw&v appkable <br />ANR 0 The waste M a beebomd reeldue of a prevtoudy nobit6ed hemardous wade <br />'w>je" m db Lmnd °iRwsaf Rashictions, f ce� yy and wmram gnat Tie wmmte has been aea� in <br />wan tine of 40 CFR'Part 266 and is no brger a hezardas wmmte as defined by <br />RECEIVING FACILITY <br />40 CFR Pmt 261. <br />WASTE TYPE: <br />t. ' <br />O DISPOSAL U SLUDGE <br />O CONSTRUCTION0 WOOD�'� <br />O DEBRIS 0 OTHER <br />fit` L <br />• SPECIAL WASTE <br />Ti FACILITY <br />GENERA <br />17724 E. Ramey Lane - PO#OW0013035 T_ODI <br />TRANSPORT <br />NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br />efta contairder Corp <br />`�' 33 57--1 <br />ADDRESS <br />145 W. Chmier Wady <br />ITY, STATE, ZIP <br />'toe on, .. <br />PHONE, <br />END DUMP BOTTOM DUMP TRANSFER <br />))466--5192 <br />SIGNATURE OF AUTHORIZED AGENT OR DRIVER DATE <br />ROLL OFFS FLAT=BED VAN DRUMS <br />CUBIC YARDS <br />I hereby certify that the above named material has been <br />d C, U le of <br />accepted and to the best of my knowledge the foregoing <br />is true and accurate. <br />DISPOSAL METHOD: (TO BE COMPLEtED BY LANDFILL) <br />DISPOSE OTHER <br />Qr/SOIL <br />EMARKS <br />U CONSTRUCTION <br />FACILITY TICKET NUMBER <br />DEBRIS <br />U NON -FRIABLE <br />ASBESTOS <br />SIGNATURE OF AUTHORIZED AGENT DATE <br />O WOOD <br />U ASH <br />D 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 />GENERATOR COPY MANIFEST # <br />