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in!tCanyon Ox Mountain l <br /> trary Landfilli ill Sanitary Landfill Landfill <br /> 9K01 Bailey R 12310 at d 1601 Dixon Road S.Austin d <br /> Psurg,CA 9 5 Half y,CA 19Milpitas,C 95 Manteca,CA 95336 <br /> ' <br /> 298 <br /> Prone(925)458-9 Phone( 0)726-1819 Phone( ) 2 Phone(2 09) -4 <br /> 009 <br /> Fax(925)458-9891 Fax(650)726-9183 Fax( )262-2871 Fax( } 2-1 <br /> a, MANIFEST <br /> %001 <br /> [GENERATOR___ILING ADDRESS,STATE,ZIP REQUIRED PERSONAL PTECIVE EQUIPMENT <br /> P, O-E... <br /> ❑GLOVES ❑GOGGLES ❑RESPIRATOR ❑HARD-HAT <br /> ❑ -VEK ❑OTHER <br /> CONTACT PERSON SPECIAL HANDLING PROCEDURES: <br /> S T R F AUTHORIZED AGE / E DATE <br /> G s •t t w not humftm <br /> -waste as defined by 40 P 281 or 22 <br /> do to applicable <br /> described,dmsified and and is i, t«f for a <br /> regulations- to is®bwdnmd reekho of• <br /> aubject a c FR P art 2S8 and is no krnpr a in hazardous waste as defined by <br /> FACILITY <br /> 44 Part 261. <br /> ST <br /> 1WASTE <br /> 0 DISPOSAL ❑SLUDGE19 { <br /> CONSTRUCTION ❑WOOD <br /> DEBRIS ❑OTHER <br /> - ❑SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTER S: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> A DR _.. _ . <br /> CITX'-STATE,ZIP <br /> P <br /> END DUMP BOTTOM DUMP TRANSFER <br /> $ <br /> MATURE OF#MORIZED AGENT OR DRIVER DATE ROLL-OFF(S) FLAT-BED VAN DRUMS <br /> { <br /> CUBIC YARDSDS <br /> { t that material n <br /> accepted n t knowledge foregoing DISPOSAL <br /> D: <br /> (TO BE <br /> COMPLETED 3Y LANDFILL) <br /> - <br /> is t accurate. IPO <br /> SE OTHER <br /> ARKS E3 IL <br /> ❑CONSTRUCTION <br /> DEBRIS <br /> FCL TICK U M BER <br /> E <br /> ASBESMS <br /> SIGNAT ;E: F IZE AGE DATE <br /> ❑WOOD <br /> r� <br /> # a <br /> U ASH <br /> / dd <br /> ❑SPECIAL OTHER <br /> DAY PRIORTO EXPECTED ARRIVAL-ANYLOADS <br /> 'r^ n G0110AI it n l A 0 0 MAI nurarti n nAiiv nm iv i q U i1ST R F -qe: E LED WITH THE LAN DFILL THE DAY B EFO R E. <br />