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Waste No 7 9 8 are-. 0 Systems TM A OWNING-FERRIS INDUSTRIES O N N-HAZARDOUS SPECIAL WASTE MANIFEST Darll. cr S1ac1Lor Dintr, but7r; Generator Name Generating Location Address Address C i i f Ct C n n t, C ..l 4 V Phone No I P, I I Phone No �— r r r ! r C n 't ' BFI Waste Code W � 4 L Containers Type Description of Waste Quanttt Units No Type D- Drum ElT C-Carton - c_�rs� .'�T-�r'S r;"'`4 i•✓C ,r-_,r-� � t r� W T g -Bag ' T -Truck FFI ❑ m 1-1P - Pounds Y -Yards ❑ m ❑ D-Other I hereby certify that the above named material does not contain tree liquid 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 property described, ' classified and packaged, and is in proper condition for transporta ion acc -ding to applicable regulations Flo-,F_ F- -,_`,F f nerator Authorized Agent Name Signature Shipment Date . • ' Truck No '7 9� �� ---- - Phone No _ Transporter Name M P E' r r an me^t a 1 Sere, c Driver Name (Print) ' 3400 Mancr Street Address Vehicle License No/State Sa ke r r i e l d , Ca , 93308 Vehicle Certification 10__1 � ■ �l hereby certify that the above named material was picked up I hereby certify that the above named material wa. delivered with- I'at the generator site listed above out incident to the destination listed below i Driver Signature Shipment Date Dever Signature Delivery flare ' + DIESTINATI ON Site NameV&SC.O Road Sari- tar y Landfill Phone No c 1 0 — ? Address t0a' Vascor Rc�d , t_z ."errnore, Ca _ �� 55C V 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 Si nature Recei t Date PASS CODE IBri2ro 7 10186 TRANSPORTER RETAIN