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.este No. 79 8 o g 2 <br /> systems T11 <br /> IiRRISfNDUSTRtES NON- <br /> HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> dank af' Stockton Lift <br /> . erorntor Name Generating Location <br /> P. O.- 13cx 1110 <br /> 10 ?420 <br /> Address Address <br /> Stockton, , C* . _052C9 rtC <br /> Stockton , CL . <br /> i J r r <br /> iPhone No. Phone No. Eil:= <br />'BFI Waste Code L ry <br /> Containers Type <br /> Descri tion <br /> "Waste Quantit Units No. T e D - Drum <br /> 0ic-sel ccntam:nated 5o. ❑ [1] <br /> C-Carlon <br /> B - Bag <br /> ❑ m ❑ T -Truck <br /> P - Pounds <br /> Y-Yards <br /> F-1 O-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 defoed by 40 CFR Part 261 or any applicable state law, has been property described, <br /> classified and packaged, and is in proper coridition fonransportatiori accordi g to applicable regulations. <br /> RL,nald K. Rinet;art <br /> enerator Authorized Agent Name 5igneture <br /> Shipment Date <br /> TRANSPORTER <br /> �-���� 915 552._9316 <br /> truck No. Phone No. <br /> M P Environmental Service- f <br /> ransporter Name Driver Name,{P nt) <br /> 3400 Manor Street •': r t - <br /> ddress <br /> f � <br /> Vehicle..Ltcense so./Stat <br /> q`• <br /> Sakertfield , Cs _ 93308 <br /> Vehicle Certification 6 Lf <br /> tereby certify that the above named material was picked up. I hereby certify that the above named material was delivered with- <br /> the-generator site listed above, out-incident to the destination listed below. <br /> U b 1 0 <br /> ver ignatum C7 I C! <br /> Shipment Date Driver Signature, Delivery pate <br /> DESTINATION <br /> Vasco Road Sanitary Landfill u <br /> e Name Phone No. <br /> dress <br /> 4001 Vasco - Road, Livermore, Ca _' SC 550 <br /> reby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> A ent None <br /> 11 Si nature <br /> Receipt Date <br /> AVO 2 ® 114 <br /> PASS CODE <br /> ENV.1RONMO tp . ` HBF1260.720 <br /> PERM ft 99AVIQESTRAN <br /> — ------- - ------- ------__-------------TRANSPORTER RETAIN� - I <br />