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, .rite 798094 F systems sM - . '. NON-HAZARDOUS SPECIAL WASTE MANIFEST a FERRIS INDUSTRIES . GENERATOR _•' Bank of Stockton l.Jestern t..ift '. Generator Name Generating Location i P. 0 L'ox 1110 3480 S. El onrado ' Address Address - r Stcakton , Cs . 05209 StaCktan , i Phone No. 0 1 1 r Phone No. ^ BFI Waste Code c J Containers Type I y I ' Description of Waste Quantity Units No. T e D- Drum ❑ m G Carton IS,s ; 0=Esq l Contaminated Soil T B - Bag T -Truck ❑ m F–] P - Pounds i Y-Yards ❑ F-1m ❑ O-Other I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable i state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been property described, classified and packaged, and is in proper condition foe-Iftansport fion according to applicable regulations. i i Ronald !C. Rinehart. - Generator Authorized Agent Name Signature Shipment Date TRANSPORTER Truck No. U Phone No. Transporter Name M PEnvi Environmental 1 Services Transporter t1t?—r � t 3�b0f ,e Driver Name {Print) 34.00, Manor Street Address Vehicle License No.lStaia Bakersfield , Ca _ 93303a� Vehicle Certification I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the generator site listed above., ou incident to the destination listed below. Driver Signature Shipment Date Driver Signature Delivery Date DESTINATION Vasco Road Sanitary Landfill- 1 0 4 .Site Name Phone No. Address 4001 Vasco Road , Livermore, Ca . 94550 I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. Authorized Agent Signature Receipt Date- i . PASS coot=_ ions 6FI260-720 TRANSPORTER RETAIN