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ite No. 798076 <br /> CJ'^j►�r <br /> .imteMS TM <br /> rtrFMISINDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> - GENERATOR <br /> �r <br /> Bink of Stockton' Aestarn Lift <br /> Generator Name _ _ _ _- - _ _ Generating Location <br /> Box 1110 11430 S. F1 Dorado <br /> Address /� Address <br /> 9520e LJ li-rCI'.-on <br /> r <br /> Rhone No. 0 , 1 u Phone No. � <br /> 3FI Waste Code C Containers Type <br /> Description of Waste Quantity Units No, Type D-Drum , <br /> C-Carton <br /> Ga' Sii� Diesel contaminatecl roi 1 1 T B- Bag <br /> T -Truck <br /> m ❑ P -Founds <br /> _. Y -Yards <br /> 11 i____! O-Other <br /> I hereby certify that the above named material does not contain tree liquid as defined by 40 CFR fart 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 condition for tri asportation ccording to applicable regulations. <br /> Ronald K. Rinehart <br /> pnerat uthorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> i uck No. Phone No. �_y7 <br /> an_sporter Name Ml. P Env i ronsnentaI Services Driver Name (Print) - T- ' `f robrp <br /> 3400 Manor Street ��� L. <br /> ;dress Vehicle License No./Stat <br /> 01 I <br /> Bakersfield, Ca . <br /> Vehicle Certificatio - <br /> ereby certify that the above named material was picked up i hereby certify that the above named material was delivered with- <br /> 'the enerator site listed above. ou incident to the destination listed below. <br /> or Signature ' . Shipment Date Driver Signature Delivery Date <br /> b <br /> DESTINATION <br /> Vasco Roar! Sanitary Landfill Z p <br /> � Name Phone No, = 1 4 <br /> cress 4001 Vasco Road , Livermore. Ca . 94550 <br /> ,reby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> •a ed A ent gignaturer Secei t Date <br /> a - " <br /> �} t}FJ 'vi{4Lk� ` PASS CODE <br /> —TRANSPORTER RETAIN - <br />