Laserfiche WebLink
,F1jKeller Canyon 0 Ox MountainIsland <br /> Sanitary ill Sanitary Landfill Sanitary Landfill Landfill <br /> 1 Bailey R' d 12310 San Mateo Road 1601 Dixond 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay,CA 94019 Milplitas,CA 95035 Manteca,CA 95336 <br /> Phone(925)458-9 ( ) 1619 Ph ( )945-2800-.. P ( 9)982-4298 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax(4W)262-2871 Fax(2 09)9R-1009 <br /> WASTE <br /> GENERATOR . <br /> k _ s <br /> E <br /> AILING ADDR "s j . � <br /> . <br /> CITY,a STA ,ZIP REQUIRED PERSONAL PCIVEQUIPMENT <br /> O GLOVES U GOGGLES U RESPIRATOR PHARD HAT <br /> PHONE <br /> '4 i,<" • :e .- >. U TY VEK a OTHER <br /> CONTACT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> ST $ AUTHORIZED GE !TITLE DATE <br /> GENERATOR'S CERTI TION:1 hereby cerlily no the above named materiaii is not a hazardmus <br /> waste as defined by 40 CFR Part 261 or " 22 cry tt <br /> classifieded, is in proper condition for transportation a. 1 <br /> regulations; Ps It On waste Is a bestmeat residue of a previously reshicted hemardom waste <br /> tothe Land Disposal Restrictions,i that the wade has been treated m RECEIVING FACILITY <br /> accordance with the rsquirementsof 40 is no a as by <br /> 40 CFR Part 261. t # <br /> WASTE PE: ` ) <br /> O DISPOSAL O SLU E <br /> ®CONSTRUCTION D WOOD <br /> •DEBRIS ER <br /> •SPECIAL WASTE q $, , <br /> GENERATING FACILITY <br /> nl4 t :R'E'AM'*. <br /> TRANSPORTER S: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> ADO RESS _ <br /> IpPEND DUMP BOTTOM DUMP TRANSFER <br /> S , , :. ''AHO VED AGENT OR DRIVER DA S) FLAT-BED VA DRUMS <br /> CUBIC YARDS <br /> I hereby certifyt the above named material has been <br /> accepted and to the best of my knowledgeforegoing <br /> is true andaccurate. SPOSWCMErHOD: (TO BE COMPLETED BYLANDFILL) <br /> DISPOSE OTHER <br /> FIEMARKS ®SOIL <br /> CONSTRUCTION <br /> FACILITY CK NUMBER BIS <br /> O NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE F AUTHORIZED AGENT DATE <br /> ®WOOD <br /> ASH <br /> '�+� f'` <br /> O SPECIAL OTHER <br /> SCHEDULING MUST BE MADE PRIORTO 3:W P.M.THE DAY PRIORTO EXPECTED ARRIWVAL•ANYUNSC LED LOADS <br /> REFUSALTO UPON ARRIVAL- ONGOING nAILVFLIvF iF_ uii-QT PF pni n wn wiTu Tuc ® Auncie f c r1kAV C21=11!^0C <br />