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-OWaste 9FI Acct . No. 1009042 No 907997 <br /> Systems systems TM <br /> FROWNING FERRIS INDUSTRIES NON_HAZARDOUS SPECIAL WASTE MANIFEST <br /> Mid Cal Leas-Ing <br /> 1649 E - Char,r�t? 1= . <br /> enerator Name Generating Location <br /> P_ Q . Box 55103 Stockton , Ce _- <br />�ddress nAddress <br /> St�ci `a . Ca _ 95205 <br /> Id - <br /> hone Na 2 n S 5 3' - _ _ - r ✓-- _ <br /> Phone No LJ�L�J _ <br /> 1'3Containers~' Type' <br /> 3FI Waste Code D - Drum <br /> Description of Waste Quantit Units No T pe <br /> t s{� C- Carton <br /> Diesel Contaminated Soil `LJ B - Bag <br /> 1--F-] ❑ i i "J ❑ F -Truck <br /> P - Pounds <br /> Y -Yards <br /> - ❑ m ❑ O- Other <br /> I 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 conditiio�npfor nsportatio iccor irtg to applicable regulations t <br /> Ronald K Rinahart <br /> enerator Authorized Agent Name Signature Shipment Date <br /> uck No r Phone No <br /> ransporter Name M P Env-t ronmerli tal Services <br /> Driver Name (Print) �✓� ! <br />[dress 3 1 t]0 ''t a ti ar S t r e e r Vehicle License No/State <br /> 6a!-er <br /> Vehicle Certification <br /> ereby certify that thAabove named material was picked up I hereby certify that the above named material was delivered with- <br /> t e'gen r for site ed Bove out-1 de t t the de natio listed below <br /> 3 <br /> Wer Sig tura Shipment Date Driver Sigp ture Delivery Date <br /> DESTINATION' <br /> lie Name ` aIco Toad Sanitar — <br /> y Landfi l 1 P No ' <br /> Phor. � <br /> tress 4001 Vasco Road Livermore , Ca 94550 <br /> reby certify that the above named materia{ has been accepted and to the gest o my knowledge the foregoing is true and accurate <br /> Authorized Agent - Signature - Receipt Date <br /> PASS CODE <br />'S BF1260 720 <br /> GENERATOR RETAIN <br />