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V,�VP r#' est eL <br /> Systems TM No r 9 o <br /> ` .4NING-FERRIS INDUSTRIES <br /> NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> �Lr <br /> r <br /> • <br /> F' krr�r <br /> Generator Name ^- r t-, L-U <br /> Generating Location <br /> Address Cx V - 1 1 = ? "J=t r-r <br /> Address <br /> C'^I <br />' Phone No - <br /> Phone No <br /> —1-F-7-1 <br /> � r � <br /> BF1 Waste Code t - ContainersFBa <br /> Description of Waste Quandt Units No T pe <br /> r <br /> m Y <br /> El:= ❑ W sE]:= <br />' 1 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 for transportation according to applicable regulations <br /> I , <br /> Generator Authorized Agent <br /> Signeture, � Shipment Date <br /> Truck No <br />' Transporter M Cr �C~ `�`'� �Grr" � Phone No <br /> r=y <br /> Driver Name (Print) Gr'� <br /> Address 34C0 Manor �+� <br /> 6 �/�iJ �s <br /> L• Pakarsfield . Com _ 93w^6 Vehicle License No/State <br /> Vehicle Certification <br /> ! hereby certify that the above ned melena! was picked u <br /> at the generator die 1 tet! abo►/ p 1 hereby certify that the above named material was taehvered with- <br /> /1 out incident to the destination listed below <br /> �D r Signature Shipment Date <br /> p Driver <br /> EIDelivery Date <br /> s � e <br /> Site NameS�_rn ar , Lan_f 11 I =_�_FT�17 <br /> Phone No <br /> Address t'�so ws� , L 1 . Ermore, CE _ 94550 <br /> ! hereby certify that the above named material has been accepted and to the best9t n ledge the foregoing is true and accurate <br /> Na Authorized A ant `�C__�y <br /> Si nalu►e — <br /> ReFei t Da e <br /> iQl88 PASS CODE <br /> BF7260 720 <br /> _� TRANSPORTER RETAIN <br />