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04/28/2006 16:32 9313636694 SHANNON DOWNS PTE A <br /> '1191U <br /> T9NMSSfE MEW CON STRI�CTf+��l, INC. - NTAL DIVISION <br /> 150 Robertson Hollow Road • Pulaski,TN 3SA79 • (931) 363.5379 • www.tngeneral_com <br /> NON-HAZARDOUS WASTE MANIFEST <br /> EMERGENCY PHONE NUMBERS: (931) 703.5379 • (931)309-8N3 <br /> GENERATOR INFORMATION <br /> Business Name: r � � � WO <br /> Address 1-Tni <br /> City: JOT <br /> State zip_ Phone: <br /> Waste Fro O/UV/S: Grease Trap:__.. -_ Grit Trap:_ Other: <br /> I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE,THE WASTE MATERIAL REMOVED FROM THE ABOVE <br /> PREMISES CONTAINS NO HAZARDOUS MATERIALS. CL <br /> N E PT"_ S�PrI - <br /> Date Serviced Time In <br /> l gnat" <br /> COMMENTS: <br /> TRANSPORTER INFORMATION <br /> Transporter Business Name; TENNESSEE GENERAL CONSTRUCTION INC _ <br /> Address 150 ROBE TSOIV HaLLOVkI ROAD <br /> City: PULASKI State TN Zip 38478 Phone: 1931.363-5379 <br /> Gallons Received: <br /> I CERTIFY THAT THE INFORMATION PROVIDED ABOVE IS C0RftfC�AND THAT LY THE TYPE WASTE SPECIFIED <br /> IS CONTAINED IN THE SERVICING VEHICLE. <br /> I A E j lease Print) <br /> a Tlme Out signature <br /> DISPOSAL INF IRMATION <br /> Business Nam . <br /> Addre$s <br /> City: , . State <br /> ,Zip <br /> Gallons Received: <br /> its este mivsd <br /> pausal£IEB t7per�ftDra Sfgnehll� <br /> Rejected: (Explain) <br /> Accepted;_ <br /> WHITE-ORIGINAL COPY • CANARY-TRANSPORT COPY PINI(.OMICE COPY - GOLDENROD-OENERATC)R HP 0 4139 <br />