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FCanyon El Ox Mountain <br /> 'I ry Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> Ailey 12310 n t Road 1601Dixon La R S.Austin Road <br /> burg,CA 94565 Half Moon Bay,CA 94019 Milpitas,CA 95035 Manteca,CA 95336 <br /> Pane(925) Phone( )726-1819 P ( ) Phone(209)982-4298 <br /> Fax(925) 8-9891 Fax( ) 9183 Fax( 8)262-2871 Fax( 9)982-1009 <br /> MANIFESTNON-HAZARDOUS WASTE <br /> E EATOR WASTE ACCEPTANCE NO. <br /> FMAAILING E �A`D;� <br /> DRE.S <br /> < eACT <br /> STATE,ZIP UIRE E S ALP TEI E UIP NT <br /> U GLCS U GOGGLES U RESPIRATOR U RD-HAT <br /> U TYVEK U OTHER <br /> ERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> S AU O AU ED AGENT/TITLE DATE <br /> GENERATOR'S CERTIFICATION:f hereby cedgy dW the above named material Is not 8 riazardous <br /> waste as defined by 40 CFR Part 261 or Oft 22 <br /> descdbod,ctassitied and packaged,and Is In proper condition for vansportation 8-cording. <br /> e,0 the wasts Is bealment reakkis of <br /> subIed to the landDisposal I n in RECEIVING FACILITY <br /> accordance with ft requiummils of ao CFR ftn M and is no a hazwdus waste as delmed by <br /> 4p CFR Part 261. <br /> ATE PE: <br /> U DISPOSAL U SLUDGE P' <br /> ®"CONSTRUCTION U WOOD <br /> U DEBRIS U OTHER <br /> U SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTERINOTES: =VEHICLE E NUMBER TRUCK NUMBER <br /> 77/ �a <br /> P Of 4-4 END DUMP BOTTOM DUMP TRANSFER <br /> EqP <br /> ' R D AGE DRIVER DA (S) FLAT-BED V DRUMS <br /> CUBIC YARDS <br /> aboveheree certify that the a eri I has been <br /> c t <br /> nd to the best of my knowledgeforegoing DIS D: (TO BE COMPLETED BYLANDFILL) <br /> is true and accurate. <br /> DISPOSE <br /> KS U SOIL <br /> REMAR <br /> U CONSTRUCTION <br /> FACILITY TICKET NUMBER DEBRIS <br /> U <br /> ASBESTOS <br /> S TRE-QF AUTHORIZED AGENT DATE <br /> f , <br /> ... U WOOD <br /> U ASH <br /> U SPECIAL OTHER <br /> SCHEDULIY ORTO EXPE ARRIVAL*ANY UNSCHEDULED LOADS ARE SUBJECT <br /> TO REFUSALARRIVAL. ONGOING DAILYDELIVERIES T BE SCHEDULED IT THE LANDFILL THE DAY EFA F_ <br />