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Acte No. 7 9 8 0 5 4 <br /> . 4iystems IM <br /> .44FERRISINDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> f <br /> GENERATOR <br /> Bank of Stockton '4est.-rn Lift <br /> rator Name Generating Location <br /> P. O. L'ex 1110 Dcrndn <br />%ddress Address <br /> Stockton, , Ca . 952'n9 <br /> Phone No. Phone No. <br /> F C T¢ yiContainers Type <br /> 3FI Waste Code I _� <br /> Description of Waste Quantityunits No. T e d- Drum <br /> (� C-Garton <br /> CPUC �' Die�al vcntytni �ctc� �.oi 1 { u B -Bag <br /> T -Truck <br /> ❑ m � <br /> P- Pounds <br /> Y-Yards <br /> ElI <br /> El 0.Other <br /> I hereby certify that the above named material does not contain tree liquid as defined by 40 CFR Parti 2601.10 for any applicable <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been property described, <br /> classified and packaged, and is in proper condition tdritransporia'on according to applicable regulations; <br /> Ronald K, Rineha-, ' <br /> r <br /> i= <br /> enerator Authorized Agenf-Name Signature' Shipment Dale <br /> TRANSPORTER F ■ rr <br /> ti...f <br /> / ~, 9Z5 558-9315 <br /> ruck o. Phone No. <br /> M P Snvironme_ntal Services <br /> ransporter Name _ _ _ Driver fame (Print) <br /> ddress 34 0 0 Ma nf 1 ,.Street Vehicle License No <br /> ./State LIZ <br /> Baker�sfi-eld;' Ca . 93308 <br /> Vehicle Certification <br /> tereby certify that the above named material was picked up I hereby certify that the above named Kalerial was delivered with- <br /> the generator site fisted above.. out inc i ent to t4q destina' n listed io> . <br /> 1gn ur Shipment Date U4r ignat a Deliverf Date <br /> DESTINATION <br /> Vasco--Road Sanitary Landfill 0 " " = 7 0 1 9 1 <br /> Name, Phone No. � <br /> 4001 Vasco Road , Livermore, Ca . ' 94550 <br /> ress <br /> • 1 <br /> - l <br /> reby certify that the above narked material has been accepted-and to the best of my knowledge the foregoing is true and accurate. <br /> ' � �R asps <br /> I Authorized A ant -,r r.'ka 91 nature Receipt Date <br /> _Ap <br /> AN 4A PASS CODE <br /> l VIRONMENTAaI.�H'���j�*�[ '` SF126672A f <br /> PERMITISERVIG <br /> TRANSPORTER RETAIN <br />