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' paste ­ f1`) /I r <br /> ' <br /> i Systems TM -7 <br /> No I 98VG4! <br /> HANG-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br />� iM14'111 Mail if <br /> _t<tcr '3acI<,- 71z �t-_ <br /> enerator Name i-�t <br /> O D Generating Location <br /> Address ' ' <br /> rAddress <br />' marl tar , �5^0e <br /> C <br /> Phone No � � - <br /> Phone No �^ <br />' BFI Waste Code <br /> i <br /> ContainersnD <br /> Desert tion of Waste <br /> Quandt Units No Type <br /> ? W <br /> EE= t� ❑E:E= ❑ <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 /> classified and packaged, and is in proper condition fob transportat on accord ng to applicable regulations <br /> F; 'c' L F <br /> [ierterator Authorized Agent Nams <br /> Signature <br /> Shipment=D.1. <br /> a « <br /> No <br /> Phone No c-)—n_s—� <br /> M 0 Cnvironrnental Serv;cLps 1 <br /> transporter Name Driver Name (Print) r L 1A��t I� <br /> Address 3 4 c c m b n ra- c <br /> Vehicle License No/State k3/1' <br /> Bakersf i el cl , Ca _ 933QB <br /> Vehicle Certification = J(^ <br /> hereby certify that the above named material wasicked u <br /> I the generator site listed above p p thereby certify that the above named material was delivered with- <br /> out incident to the destination listed below <br /> Driver Signature -vt�-�- i' O G C <br /> Shipment Data Driver Signature <br /> Delivery Dale , <br /> t . � <br />�te Name Vas`o Rcrsd Sant tr:ry Lr�r df i ', l 1r <br /> w w � <br /> Phone No <br /> Iddres5 4001 •'a�cG RCad , Li v,,rmara , Ca - g4G5C <br /> lereby certify that the above named material has been accepted and to the bestoin of y o vied the foregoing g is true and accurate <br /> I rt Authanzed A artt r <br /> Si nature <br /> Reee pl Date <br /> PASS CODE <br /> SF1260 720 <br /> TRANSPORTER RETAIN <br />