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- i No. 7580 ' 8 z y`� * aJyr.r y a A .lV aystems FERHIBIHDLISTAIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR `� 1 '.�1e5tern Lift Baal; of Stock on zGenerating Location — Generator Name kY. . O . L'nx 1110 Address Address �:� S S,5209 5�R9 Stockton , Stockton , CL - Phone L .Fhone No. ' J Phone No. ' ` 1= f r, Containers Type BFI Waste Code I�1--�—� Quantit Units No. T pe C' Drum Description of Waste 4 � � m T C-Carton f uS £ 0iesc�l Ccrtam:rat�C So� B - Bag T -Truck ❑ m ❑ P - Pounds Y-Yards O-Other El 1:1 - I hereby Certify that the above named material does not captain 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, Y classified and packaged, and is in proper condition for//t,�ansportation according to applicable regulations. Donald Y. Qeneralor Authorized Agent.Name Signature Shipment Date TRANSPORTER Truck No. 7 Phone No. r} Transporter NameM �' Envi romm �tal SQ' e5 Driver Name (Print) �d00 Manor Street Address Vehicle License No.IState s a k e r s f i e l d r Ca . 8 3 8 0 8 Vehicle Certification •t Hereby certify that the above named mat ial was picked up 1 hereby certify-that theate tial was delivered with- al the gen ator site listed above: out incid to the desti Delivery Date Driver Signatum . 7 - 'f-. shipment Date Driver Signatyfe ' DESTINATION °J�a loo„d Sanitary Larch l l phone No. Site Name — Address 40 01 Vasco porad , Li vermor'e , hereby certify that I as been accepted and to the best of m -knowledge e the foregoing is true and accurate. jj� AAulhorized A ent 1992' Si nature / Rec i 1137. :✓ PERlY1 /A��IU SERV ICES ^ PASS CODE= BF1260.720 TRANSPORTER RETAIN