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t Oce No. 798OR <br /> jfstems TM <br /> xJM INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> �. GENERATOR <br /> J Banc; of Stockton `.'J stern t_;ft <br /> Jenerator Name Generating Location <br /> P. O. Box 1110 3430 S . - El Ocrado <br /> Adbress Address <br /> Stockton , Ca -- 952103 c•Lucictor. , "r: . <br /> Phone No. PLI g 1 t I Phone No.F �� I <br /> BFI Waste Code <br /> C .A _Q F C 2 ? 11 <br /> r Containers Type <br /> Description of Waste Quanticy Units No. Tle <br /> D - Drum <br /> S S; Diesel Ccntamir.ated Soil 3 m G - <br /> Barton <br /> 9 <br /> m ❑ T -Truck <br /> El <br /> P - Pounds <br /> Y-Yards <br /> ❑ m El0-Other <br /> ___E1I- i <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 coftdition for-transportation according to applicable regulations. <br /> 1 <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTEA <br /> F`JJ91 S 5t38-931 6 <br /> Truck•No. Phone No. <br /> Envi ranm�.nt.sl Ser•.:-ices <br /> Transporter Name Driver Name (PrintF <br /> 3400 Manor StreetC <br /> Address Vehicle License No./stat <br /> Bakersfield, Ce . 93308 <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator site listed above. out incident to the destination listed below. <br /> JI <br /> Driver signature Shipment Date Driver Signature Delivery Date <br /> i <br /> DESTINATION <br /> Vasco Road. Sanitary Landfill 5 7 0 — w Z ? 9 1 <br /> Site Name Phone No. <br /> Add1::] <br /> ress 4001 Vasco Roa`-'" • Livermore, Ca _ 94 5 5 C <br /> i t <br /> he certify that thff-above named material has been accepted and h es of my know e e the foregoing is true and accurate. <br /> f Authorized A Ont 5I nature i�r Fletei t Date <br /> AU 0 2 0 1992 PASS CODE <br /> i"oM ENVIRO NMENTALH BFI260-720 <br /> .� Af.TH <br /> TRANSPORTER RETAIN <br />