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0 Waste No ` <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name Generating Location <br /> F 0F � fit, =, 312P u c � �ai� ir l{ t rrr <br /> Address Address oi <br /> Phone No F7 I 1(,:[:= Phone No <br /> Containers Type <br /> BFI Waste Code 1 ' 0 1 2 4 9 I c t� i D-Drum <br /> Description of Waste Quantity Units No T pe <br /> C-Carton <br /> o 10 IB l 4 <br /> 8 - Bag <br /> T -Truck <br /> SOIL ❑ m ❑ P -Pound, <br /> Y -Yards <br /> El <br /> Elm ❑ O Other <br /> hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations <br /> f <br /> Generator Authorized Agent Name Signatu Shipment Date <br /> TRANSPORTER <br /> Truck No Phone No <br /> rillatd Tr4rl.inz Inc 2 53 Ac-Transporter Name Driver Name (Print) �� _' <br /> Address P 0 Boti ?S6 Vehicle License No!State(A Z,r _ ` <br /> B�:on Califorrla 94314 <br /> Vehicle Certification n� <br /> I hereby certify that the above named material was picked ug I hereby certify that the above named material was delivered wW <br /> at the era�r si a list d above out incident to the destination listed below <br /> fA <br /> Der Signature Shipment Date Driver Signature Delivery Date <br /> MESTINATION <br /> Site Name <br /> E F I \a srci Road Landf 11 Phone No <br /> 4001 NOI Ltt �ascc Rd Li%ermol e Ca 9.45 ,0 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my kvdge the foregoing is true and accurate <br /> i <br /> f Authorized Agent Si nature <br /> Recei t-D a <br /> LIZ <br /> i <br /> PASS CODE <br /> BF126t <br />` 10186 <br />