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r Q -/ <br /> .aNo. 7807 -11)9 <br /> te .y <br /> JySte "Y1S TM NO <br /> SPECIAL WASTE MANIFEST <br /> .10G FERRIS INDUSTRIES <br /> / GENERATOR <br /> Bank inf utockton <br /> Generator Name Generating Location <br /> IS. El cu^_�d4 <br /> Address P. 0 . I?VX 1 1 10 <br /> Address <br /> Stoc <br /> t;tan Cs - 952nD <br /> "s <br /> Phone No. Phone No. L� <br /> G -1 ( 5 C <br /> � <br /> BFI Waste Code ontainers Type <br /> m <br /> Description of Waste QuantityUnits No. Type C- Drum�1 C-Carton <br /> o IL JI <br /> aS ni; sal CG:,tmirrtcd B - gag <br /> T -Truck <br /> ❑ m <br /> El P - Pounds <br /> Y -Yards <br /> El <br /> Elm El 0 <br /> -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-condition for-transportation"according to applicable regulations. <br /> Ror,F 1 d K_ fti nc`1M-t <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> -Truck No. Phone No. <br /> - <br /> Transporter Name M P Env! ranmen to l Services Driver Name (Print) <br /> ry r Manor Street Vehicle License No.IState ��/ <br /> Address .400 — <br /> ` B s k e r s f i e l d , C a _ 9 3 3 0 8 Vehicle Certification ��� / -- — <br /> 1 hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at_S generator site lis ed above. Olin to the destination listed below. <br /> o <br /> Drtver Signatur6 Shipment Date Driver Signature Delivery Date.> <br /> DESTINATION <br /> Site Name <br /> 'lasca Road Sanitary Lar'df i 11 Phone No. <br /> ddress 4001 Masco Road , Livermor eCr -C 94 550 <br /> Inhereby certify that the above d V <br /> ESY <br /> naccepted and to the bVo4owledge the foregoing is true and accurate. <br /> 'Authorized Agent Alin Si nature Recel t Dat <br /> _._ ENVIRO A HEATH <br /> PASS CODE <br /> �IMlfi/�€��fl�lc� <br /> i0/t39 BFI260-720 <br /> y#: TRANSPORTER RETAIN j. <br />