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U Keller Canyon El Ox Mountain El Newby Island 0 Forward <br /> Landfill Sanitary Landfill Sanitary Landfill Landfill <br /> 1 BaileyRoad 12310 San Mateod 1601 Dixon Lancling Road 9999 S.Austin Road <br /> Pittsburg,CA 94565 Half Moon Bay,C 19ii ' CA 9 Manteca,C <br /> A 95336 <br /> Phone(925) -9 Phone( )726-1819 P ( )945-2800 Phone(209) -4 <br /> Fax(925)458-9891 Fax( 0)726-9183 Fax( )262-2871 Fax(209)982-1009 <br /> WASTEI <br /> GENERATOR <br /> WASTE ACCEPTANCE NO. <br /> MAILING ADDRESS <br /> CI ,STATE,ZIP <br /> RE IRE ESO ALP OTETIVE E UIP T <br /> PHAIVE U GLOVES U GOGGLES U RESPIRATOR U HARD HAT <br /> Y V <br /> O TEK UOTHER <br /> CONTACT PERSON <br /> SPECIAL HANDLING PROCEDURES: <br /> S AT AUTHORIZED AGENT/TITLE DATE <br /> GENERATOFS GERTI TION:I hereby t the above named material is not a hazaKious <br /> waste as efe by 40 CFR 261 or tide 22 of the of tions,has been property <br /> d ark is in ion for a. <br /> Nteo Ah"Wdoua wash, <br /> accofris'na with the r Of Part -arrant s no k a w in by RECEIVING FACILITY <br /> 40 CFR Part 261. <br /> WAST PE: <br /> DISPOSAL U SLUDGE <br /> q,c6NsTRUCTION U WOOD <br /> 0 DEBRIS U OTHER <br /> U SPECIAL WASTE <br /> GENERATING FACILITY <br /> TRANSPORTER NOTES: VEHICLE LICENSE NUMBER TRUCK NUMBER <br /> vl I Y.STAT ,ZIP <br /> N <br /> END DUMP BOTTOM DUMP TRANSFER <br /> A1` DRIVER ROLL-OFFS FLAT-BEL) VANEr � <br /> CUB <br /> IC YARDS, <br /> I hereby certifythat the above named material has been <br /> 8CCePted and to the best of my knowledgeforegoing <br /> is true and accurate. DIS D: (TO BE COMPLETED BY ) <br /> DISPOSE <br /> rE AKS UcSOIL, <br /> ` U CONSTRUCTION <br /> CIL CK E DEBRIS <br /> U NON-FRIABLE <br /> AI NTU OF AUTHORIZED AGENT DA U D <br /> UH <br /> ¢ I s0 SPECIAL OTHER <br /> :DULING MUST BE MADE PRIORTO 3:00 P!M.T"E DAY PRIORTO EXPECTED ARRIVAL•ANY UNSCHEDULED LOADS ARE SUBJECT <br /> EFUSAL UPON ARRIVAL. ONGOING DAILY DELIVERIES MUST BE SCHE13ULFn WITU'rmo ® Aiwinces ® rum eau ------ <br />