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G Containers;, Type'- <br /> Waste <br /> BFI Waste Code <br /> Description of Waste Quanta Units , No:= T e, ' Q-Drum <br /> ,.?4,L .. {3fesel:` CorttaminatLhd Soil Z 8 m T � C-Carton• <br /> B-Big <br /> = _ _ T Truck <br /> P-Pounds <br /> Y-Yards <br /> �` _• F � � = .` -• _ ,• � m �� O-Other <br /> I hereby certify_that,the above named. rriaterial'does not contain,free,liquid as defined by.40 CFR Part 260.10 <br /> pr 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 /> =h <br /> classified and packaged, and is In proper condition for transportation according to applicable regulations:;. ` a <br /> K w i2i ri 6 h a r-t jyT • tf, <br /> R° ,•�r #f•� y-.. ..r. -: ^T'-!',•sl"r.. _ �,--,.,. -�x•..51•"`:.:,- ••.4`l: _ r+�.'�... .-.c,�..�-.. <br /> Genemlor AtAtwriied Agent Nama Shipment Date= A <br /> ..x,,._.w _ AA .�=G:T.• -d: �11J' �'•rte_ <br /> �••,-T.xy�� iF �i f -w "atiyli��#TV .9 J}l �' C •111� GLb�r.{"`• l.. <br /> •Cts X •-1c ytrh. <br /> " .Phone No: x' ' r, <br /> � :.;� �_� <br /> � �.f+�ieZ �� , - �� t' ,i°'"Ilie .7. r }.•.r:• ''_,.. #.= -F rgnms [ e vii es Transporter N � _° - flri�er orale{Print)' ; <br /> Addie 26 <br /> Y t? wo' � <br /> iNO Ve isle Ucense 1VoJState <br /> TE <br /> -�� K. r'x �.;� Vehic a Certifies#ion - � r ,.'3k ` :i <br /> f here Ce #hat _evarn8med.materi1fY` t"` 8 ify „s, It n as�el yered with- "' <br /> IM th er si 1 out cide t sii tip sted beloiNt, T <br /> :. s� {��`•' t .. r ` � `; F� .ice_° <br /> '• •^ cr <br /> M_ ... -r.•i• 'ariaAff �W' Y. ., ." -: 1 <br /> -, M r Sh ateDriver S afore ' 7Eh ti <br /> :a. _ .�y, �. •.a-...:r>,001401101"4-I .n`r!• .J .V_.t[lAL:-'F „a.__1 <br /> E TN ` tj <br /> - 11 <br /> T rs <br /> r:��•t _- - � - •-'-• v 't.CY a"�'•i0.Y " ��x •r:.F..-r.-.: .�x:' .•av-wr'- w» - <br /> Site Na y - I'M .� - Y °' ra�r Plione No:. t ' �� 'rK. :_ <br /> •T"W !'> rY-• `a. eF -.. a.4S'+•..�. y <br /> iOY}�.�' ir✓ ' --�Y�`.,,�,,�� `S°'#S1"ti� 'r' "'F� .=.L"r _Xr'' �•"?�r'�t"=.. 5 <br /> -z •t _ 4 •I`.. �' ^'w`A v a` x ". 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