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Ste No. 798095 3 h systems �� _ �`ERRtSItV�USTRiES NON HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR `",, +,• Western. Lift t3ank of Stockton " 3erterator Name Generating Location� P. O _ Pox. 1 1 1 G El Clor, o Address Address Stockton , C'F _ - 5110 Phone No. Phone No. n r, L Containers Type J V BFI Waste Code m D- Drum Description of Waste Quantitx Units No. Type GaS C-Carton DiesEl Contaminated p ❑ m B - Bag T -Truck El ❑ P - Pounds Y -Yards EI I 1 ❑ m 1:1 0-0 ther I I hereby certify that the above named material does not contain free tiquld as defined by 40 CFR Part 260.10 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, classified and packaged, and is in propel condition fort nsportatio accordin to applicable regulations. Ronal- K_ r. , nehart '�- Generator Authorized Agent Name Signature Shipment Date TRANSPORTER S16 558-9315 Truck No. Phone No. i- M P Environmental Services i�� l1�1 11�i� �+� # t Transporter Name Driver Name (Print) t - 3400 Manor Street Address Vehicle License No./State 41 Bakersfield , Ca . ' 93300 ' - Vehicle Certification f ] q I hereby'certify that the above named material was picked up I hereby certify that the above named material was delivered with- at thiF-9 erator site listed above. <-,out incident to the destination listed below. Drfvw Signature Shipment Date Driver Signature Delivery Date DESTINATION x Vasco Road Sanitary Landfill Site Name Phone No. — 4001 Vasco Rcad, Livermore , Ca - 94550 Address I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. j Authorized Agent Si nature Receipt Date I PASS CODE low. BF1260.720 TRANSPORTER RETAIN ;