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.t ` . 7980.53 <br /> �� <br /> f�ystemS <br /> G.FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> IM <br /> Y f <br /> i r GENERATOR <br /> r - .• Y <br /> *xBank of Stockton , <br /> Generator Name est e r n i_i f t <br /> Generating Location <br /> ` P. O_ Box 1110 <br /> Address Address 3130 S - El <br /> Stockton , C c,c�un <br /> Sto^I,tc;n , ^c _ <br /> Phone No. 0 � 3 � ' ' <br /> Phone No. <br /> BFI Waste Code r ` u n "` c <br /> ContainersED <br /> Description of Waste Quantit Units No. T e <br /> (A C, 0iesei Lc.ntaminaLe� �o' l ❑ m <br /> c <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 defined by 40 CFR Part 261 or any,applicable state law, has been properly described, <br /> clash fied and packaged, and is in proper condition for tfansportatio according to applicable regulations. <br /> Ronald K. Rinehart <br /> Gonerat I-Authartzad Agent Name Signature <br /> Shipment Date <br /> t <br /> Truck No. Phone No.r g' s 5 L o-9 3' 6 <br /> transporter Name M P Environmental Servi ices <br /> � l <br /> Driver Name {Print} l 'vl'� <br /> ?400 Manor Street, <br /> Address Vehicle License No./Stats_/_. �Lz r.� I J <br /> ; • _ , <br /> Sakersfield , . Ca . 9380a <br /> Vehicle Certification <br /> hereby certify that t e above na d material was picked up I hereby certify that the above med material was delivered with- <br /> at the sl <br /> listed abov <br /> Zr!�. out incid the destina ' Ji'sted below <br /> �rlver Signature. Shipment Date Driver signature Delivery Data <br /> DESTINATION <br /> Site Name Vasco- Road Sanitary landfill [=—I 4 0 1 <br /> Phone No. <br /> Address 4001 Vasco Road , L ivermcre. Ca - g455C <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> AM <br /> _ <br /> NLe" Authorized Signature <br /> tt-� 111011M Receipt Date <br /> 0 1WWK local <br /> ENVIRONMENT HEALTH <br /> PERM IT/SERVICES PASS CODE <br /> g~ BF1260-720 <br /> TRANSPORTER RETAIN ' <br />