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Canyon E] Ox Mountain El Newby Island <br /> i Landfill i Landfill Landfill Landfill <br /> QBailey Road 12310 San at Road 1601Dixon Road 9 S.Au <br /> stin Road <br /> uP' b ,CA 5 Haff y,CA 19Milpitas,CA Manteca,CA 95336 <br /> Phone(925) 8-9 ( )726-1819 P ( ) 2 (209) -42 <br /> 9 <br /> 9)/98 5)458-9891 Fax( 0)726-91 Fax(4 08)262-2871 - <br /> 0 <br /> MANIFESTNON-HAZARDOUS WASTE <br /> [GEENERATR WASTE ACCEPTAhCE 46.DRESS,ZtP E I PE L TI E E UIPMENT Ct GLOMES 0 G GLES 0 RESPI TOR ®HAFT® T <br /> 0 Tyr vEK ❑O ER <br /> ERSON SPECIAL HANDLING OCEURES: <br /> S F AUTHORIZED AGENT f TITLE DATE <br /> h 9Et <br /> d { _ <br /> GENERATOR'S CERTIFICATM 1 hereby <br /> a is not a hazwdDw <br /> waste as defined by AQ CFR Pan 261 Or dft 22 otot regutations,has been propft <br /> described,dassWod and padaged,and ism proper corKftnfor trardpwWm a to appheable <br /> regulations;AND,N the wage is a treabnOnt 118kho at 8 PmvbuslY restricted hswAdcus waste <br /> autiect to me <br /> of 40 Cf is a mRECEIVING FACILITY <br /> accordance with <br /> 40CFR Part 261. <br /> WASTE PE: <br /> 0 DISPOSAL 0 SLUDGE <br /> 0 CONSTRUCTION 0 WOOD <br /> 0 DEBRIS 0 O ER <br /> ®SPECIAL WASTE <br /> GENERATING FACILITY <br /> SPORTER TES: V ICLE NU U NUMBER <br /> a b <br /> A <br /> ej <br /> STAT , <br /> P `° DUMP BOTTOM DUMP TRANSFER <br /> Sft"Ar 80"A�WRIZED AGENT OR DRIVER DATE ROLL F SI FLAT-BED VAN DRUMS <br /> 17 <br /> 160 <br /> CUBIC YARDS <br /> I i t t v n material as been <br /> accepted and to the best of my knowledge the foregoingDIS D: (TO BE COMPLETED BYLANDFILL) <br /> is true and accurate. <br /> DISPOSE OTHER <br /> O IL <br /> KS <br /> ❑CONSTRUCTION <br /> FACILITY TICKET NUMBERDEBRIS <br /> NON-FRIABLE <br /> ASBESTOS <br /> SIGNATURE OF AUTH0131ZED AGENT DATE -6WOOD <br /> )U ASHF <br /> 0 SPECIAL OTHER <br /> t <br /> SCHEDU <br /> LI 1 P.M.THE DAY PRIORTOE L-ANY UNSCHEDULEDLOADS ARE SUBJECT <br /> TO REFUSAL UPON ARRIVAL. t AILY DELIVERIES MUST BE SCHEDULED IT THE LANDFILL THE DAY BEFORE. <br />