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Waste-—_ 9Fr=Acct No.=1009042 No 906020---- Systems TM FERRIS INDUSTRIES N N-H �D�` � -� ECIALWA TE MANIFEST f ` f= y �{1�j rc31 t 2=r^� -- - - 0344 E k,")ar,neI 7Y 3enerator Name - Generating Locationi �ddress c Som 551 0 , Address Stockton , Ca l =_O C , 6 [hone No i Phone No �- 1 7 �� c g ' 2 3 5 Containers Type 'FI Waste Code D - Drum Description of Waste Quandt Units No Type G - Carton S: + 1 f� m B Bag ' T Truck ❑ m P - Pounds Y Yards ' ❑ m ❑ O- Other I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, ' classified and packaged, and is In proper condition for transportation according to applicable regulations `, -31d K r,lr Gl-)ar't- I _nerator Authorized Agent Name Signature Shipment Date �uck No Phone Na f v-i � or'inen " d t Se \ 1 cc �J ✓ vl ansporter Name Driver Name (Print) Lj r LA C -.42 _ dress ' > 00 ftar,c.+r rt r,ee- Vehicle License No /State Y - 8 a k e,,s Af'-r E I c' C F1 g u 3 0 Vehicle Certification liereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- it the generator site listed above out incident to the destination listed below kX 9 1 c T5 z giver Slgnature Shipment Date Drover Signature Delivery Date e Name/.risco Fr-,-3d San-ito y Landf j I I Phone No ddreSS '~E v HSC= i -Ca , -I t t=-nic-,i— Ca _ 9�� 550 I 'ereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate Y I Authorized A ent Signature Receipt Date ki I PASS CODE BF1260 7?0 GENERATOR RETAIN