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�lste No [q`8 o 2 <br /> Jystems TM <br />' .G-FERRIS INDUSTRIES Nol V_II AZARDOUS SPECIAL WASTE MANIFEST <br /> Wd-4 14 <br /> nerl �f Stocl.tcr ".3`<I�?� '�istr- Lut.-rg <br /> Generator Name Generating Location <br /> 0- '?cu 11 -19 1 <br /> Address Address <br /> s oc7'tC.n C,a 52C'2 St'[IC1 <br /> Phone No - Phone No �— <br /> BFI Waste Code t r '� TTI Containers Type <br /> Description of Waste Quantity Units No T pe D. Drum <br /> ^Ie=e ;-I- -et^d F - m C Carton <br /> B - Bag <br /> ❑ m ❑ T -Truck <br />' P - Pounds <br /> Y- Yards <br /> ❑ m I ❑ O-Other I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 226011/00 or any applicable <br /> state taw, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition for Wnsportatlon a Cording to applicable regulations t <br /> 1 <br /> Generator Authorized Agent Name Signature v �~ Shipment Date <br /> TRANSP07TER <br /> Truck No <br /> Phone No I <br /> Transporter M P Fn ,i'rcrmental `Ser ,css <br /> P Driver Name (Print) <br /> Address 3 4 C O M a n c3 r Street <br /> Vehicle License No/State__ 1•�� <br /> Cakersfield , Ca - 93303 <br /> r <br /> Vehicle Certification <br /> 1 hereby certif)l 4hat the abov amed material was picked up I hereby cerxify that the above named material was'lellvered with- <br /> al the generat6r`site listed out Incident to the desk dtion listed below <br /> Driver Signature Shipment Date Driver Signature - Delivery Date <br /> a <br /> DESTINATION <br /> Site Name Vmsco Read Sanitary, La;,df� 11 D 4 1 7 3 9 <br /> Phone No �— <br /> Address 2001 Vasac Pzne2 , L7 ,. er„tora, Ce - 01'd55Q <br /> 1 hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> Nr Authorized Agent Si nature l Receipt Date <br /> PASS CODE <br /> 10186 SF1260 720 <br /> TRANSPORTER RETAIN <br />