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I � r <br /> n <br /> i .ate v 1 No. 798090 <br /> 4ystemS TAI <br /> J-FERRISINDOSTRIES ' NON-HAZARDOUS SPECIAL WASTE- MANIFEST <br /> GENERATOR <br /> t� ,� a.ar,lc of St �r.ktn-, ;a __ �_.-r '__ . sem <br /> ,Qeneiator Name. Generating Location <br /> P. O_ CCx ' 110 :34 :0 S_ E3 <br /> rAdljre§s Address <br /> - StoCG:ton . Ca 95209 1:`or, CZ . <br /> 2Phone No. 3 Q 9 � 1.I P I J 1 Phone No. L � � <br /> C JA BFI Waste Code (a1, D ry Containers Type <br /> Description of Waste Quantity Units No. T ype D- Drum <br /> { <br /> 1t DiesFel Contarr inated :=•c^ 1 e -Carton <br /> g m r C- <br /> 9 <br /> ❑ T -Truck <br /> mP - Pounds <br /> Y -Yards <br /> ❑ m ❑ O-Other <br /> 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 taw, has been property described, <br /> classified and packaged, and is in proper condition for transportati6n according to applicable regulations. <br /> Ronald K. Rinehart <br /> Generator Authorized Agent Name Signature Shipment Date <br /> e <br /> r <br /> TRANSPORTER• • r <br /> f <br /> Truck No ! 515 uSQ-931B <br /> Phone No. <br /> _ I <br /> Tvans orterName mantl Services P Environ <br /> P Driver Name (Print) + .M) . <br /> adi�ess Q o Manor Str p E t Vehicle License No./State {! J I <br /> aakersfield , Ca . 93308 <br /> Vehicle Certification ' - <br /> ! 6ie.6y certlfy 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 /> DrNe gnaturs Shipment Date Driver Signature Delivery Date <br /> - <br /> DESTINATION <br /> Vasco Road Sa i t.ary Landfill 1 0 �. 9 1 <br /> Site Name Phone No. 17T <br /> Address, 40.0. 1 Vasco ttioic•d Livermore, -Ca - 94550 <br /> ! hereiy certify that the above named material has <br /> been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> ~ AAuthorized A entmiff Si nature i <br /> r� Recei t Date <br /> AU11 20 92 <br /> ENVIRONMENTAL NgALTH PASS CODE <br /> PERMIT/SERVICES <br /> eF+260-720 <br /> TRANSPORTER RETAIN <br />