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l aste BFi _Acct _ No. 1009042 No 907991 <br /> ! _ - c- = -- ---_ --- _ ----- <br /> Systems TM <br /> ROWNING FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> h,i, CGS Leasing 1 649 E Channel St _ <br /> enerator Name Generating Location <br />� <br /> P _ O_ Box 55103 Stockton . Ca ddress Address <br /> �YC'�r_j.rrafl _ ra QS205 <br /> }hone No 0 9 — 4 _6 0 Phone No <br /> BFI Waste Code A 4 0 1 1 <br /> $ Containers Type <br /> Description of Waste Quantity Units No Type D - Drum <br /> C - Carton <br /> Diesel Contaminated Soil e B - Bag <br /> T' -TruckEl P - Pounds <br /> Y -Yards <br /> O- Other <br /> E F] <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 lcondltion for tra,nsportati n,according to applicable regulations <br /> } <br /> , <br /> Rcnalci K Rtrta <br /> 3enerator Authorized Agent Name S,gnature Shipment Date <br /> uck No �_ : !R -- 7�3 G — Phone No g 3 S 668-9316 <br /> I'y1 P Envi ronmenta 7 Ser,/ice= r <br /> Transporter Name Driver Name (Print) ZZ41 r <br /> Fdress X400 5t -eet <br /> Vehicle License No/State Z 5Z 7 5<-1 <br /> = t ori ; ra <br /> Vehicle Certification <br /> ereby 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 /> PRver Sgnature Shipment Date Driver Signature Delivery Date <br /> i <br /> Fcad Sanztar,v Land*ill <br /> Site Name Phone No <br /> w <br /> dress <br /> 4, 101 VaFcc Rc zd r t_ -i ver rnorc- Ca _ 94 550 <br /> reby certify that the above named material has been accepted and to the best of my knowledge the foregoing Is true a,,d accurate <br /> Authorized A ent Signature - Recei t Date <br /> PASS CODE _ <br />�fi BF1260 720 <br /> GENERATOR RETAIN <br />