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Waste No 854329 <br /> Systems TM <br /> DWNlNG FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> Lti���n �t ,-r t on =7-3320 <br /> aerator Name C°`O1' Cumhan� C S a Generating Location <br /> a <br /> dress P 0 Boa 4415 Address 3128 % Benjamin Holt Dr <br /> Pouston Texas 77310-4415 Stockton California <br /> 5 1 <br /> one No 0 _[2 4 6 8 i 0 0 Phone No <br /> I Waste Code _ t 9 6 1 7 Containers TYPe <br /> Description of Waste Quantity Units No Type D - Drum <br /> C Carton <br /> 0 ( 0 1 8 E Bag <br /> \O\ HAZARDOUS T -Truck <br /> SOIL ❑ J ElP - Pounds <br /> t� ! Y -Yards <br /> ❑ l—. I � ❑ O Other <br /> 1 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 /> al'l_ilU L Lit tl•, ��-+- c ;L o 2 L <br /> neraior Authorized Agent me Signature Shipment Date <br /> H-4WIla <br /> 310-534-6850 <br /> uck No q-7 Phone No <br /> Dillard 'Trucking Inc <br /> ansporter Name job *2,455 _ Driver Name (Print) <br /> ldress P 0 Box 218 Vehicle License No /State 46 71`) <br /> BNron California 94514 <br /> Vehicle Certification 775 <br /> iereby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> the generator site listed above out incident to the destination listed below <br /> 4 4L �/AfcJ��w 4 e <br /> Iver S gnaw' lure Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> ite Name B F I Vasco Road Landfill Phone No 5 1 0 1 <br /> 4001 North Vasco Rd Livernt,t a 3 �=0 <br /> ddress <br /> _ f <br /> hereby certify that the above named material has been accepted and to the best'o my kno� ge the foregoing is true and accurate <br /> horded Agent Signature Reeetyt Date <br /> PASS CODE <br /> 0186 $F1260 720 <br />