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. Ste Utz. 7 5.8 0 5 6 4 ; NON c �yste�rls rM NON-HAZARDOUS SPECIAL L WASTE MANIFEST GENERATOR hantc of Stockton 14 s s 1_;f t Generator Name Generating Lodation P_ J. -Ix ' 110 a1:?0 `=� !�cr.� c Address Address stc'ckton Ce . 952^ S''n-ll. �r , 3 T Phone No. Phone No. l o 4 0 r Containers Type r BFI Waste Code D- Oescri tion of Waste Quantic Units No. T a Drum 3E �4Z 9-~nsel El m C Carton B - Bag ❑ m ❑ T -Truck P - Pounds i 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. i PCnald Y. R Ire'-arm Generator Authorized Agent Name Signature \J Shipment Date TRANSPORTER �// �� - '� _.. 375 65�•-9315 ' Truck No. fes/ Phone No. M P Environmental Service Transporter Name Driver Name (Print) 3_7'01 ►^`mss '�"`��r7 Address 3400 Manor Street Z,!5>,9Vehicle License No.lState Sakersfial.d , Ca . 93303 Vehicle CertificationJ�;Z572= !.hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- . at the generator site listed above. out incident to the destination listed below. 6 er Signature Shipment Date l er Signature Delivery Date DESTINATION Site Name Tesco Road Sanitary Lar,df 1 1 1 0 1 Phone No. �� Address 4001 Vasco Road , Livermcne , C. _ 94550 1 hereby certify that R Eajdainas been accepted and to the best of my knowledge the foregoing is true and accurate. j Authorized Agent AU Ij Signature Receipt Date ENVIRONMENTAL HEALTH t PERMIT/SERVICES PASS CODE 101!38 BFt260-720 -_ - TRANSPORTER RETAIN