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dste- ' No. 798081 <br /> Yjystems TM <br /> .EG-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> t _ <br /> Bank %if Stockton t <br /> Generator Name Generating Location <br /> 4; <br /> P'. 'J_ Pox 11 , 0 ^crado <br /> Address Address <br /> Stockton, , Cs . 195 2 0 C1 � <br /> a..i �.: ..a t l:•�:..I:t On t.- <br /> 2 0 9 X 1 3 <br /> Phone No. Phone No. �� <br /> ^ ! 4 C <br /> BFI Waste Code 6 0 ?� � � 17 Containers Type <br /> Description of Waste Quantity Units No. Type D-©rum <br /> ' C-Carion <br /> Go S esel Ccr,,.a.ninate CGS i 1 O L J, m El <br /> B - Bag <br /> T -Truck <br /> ❑ m ❑ P - Pounds <br /> Y-Yards <br /> mEl0-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 forTransportaiio 'according io applicable regulations. <br /> Ronald K. Rinehart � � w. <br /> G or Authorized Agent Name Signature Shipment Date <br /> Truck No, ln_'Z Z_Tef4 Phone No. <br /> .3 M P Environmental ronmertsl Serv-i ces <br /> .Transporter Name ?ft�N �f�i <br /> " Driver Name (Pr � <br /> '1400 N�n o r Street nse No./Stat � Zi?�S�o <br /> x <br /> Bakersfield , Ca . 93G -S � > <br /> Vehicle Certification <br /> 1 hereby certifyhat the ab a named material was picked up I hereby certify that the abo"amed mat€tial was delivered with- <br /> at the g ra{or site lis bove. out incident. o the destinati listed be/low. <br /> Driver Signature., Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> j Vasco Road Sanitary Landfill S 1 0 _ 4 0 1T� <br /> Site Name Phone No. <br /> Address 4001 Vasco Road ,, L,verm zre , ^a _ £4 550 <br /> I hereby certify that the above named material has been accepted and to the best of my owledge the foregoing is true and accurate. <br /> l f Z i <br /> Na Authorized A 9 Si nature to <br /> LNVIROfYIVI PASS CODE <br /> B1=12sa7zo <br /> TRANSPORTER RETAIN <br />