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<br /> .Gis`�,. _ No. 798428
<br /> +T,rY^
<br /> ystems •
<br />' NON- L ^
<br /> dlFaFERRIS INDUSTRIE � k hAZARDOUS, SPECIAL~_WASTE=MANIFEST
<br /> 4+1aswr•t--� r .t rn.7 `r'7+;+ti, a A :Sr„'r: ,•.y -�
<br /> • • r
<br /> . �..�",� ,k '7 y- n
<br /> •GeneratarN _ Ban1 a Stoc for �„ � s • _ , rt _ „ SAbk '01Strif utirzg
<br /> Generating LocatjoA
<br /> Add-ess- P _SSox 27tH=.r ;yvY f'3 y�z� 1149' W-'-.4 Weber
<br /> ass ,
<br /> Addresste
<br /> ;r" Stockton , "Ca_ 95209' Stocictart Ca .
<br />' Phone No. E7 9 '— 9 2 3 �-
<br /> Phone No
<br /> BFI Waste Code C A 4 0 6 0 2
<br /> 14 r 11-
<br /> { Containers Type
<br /> Descri tion of Waste Quantity Units No T e D- Drum
<br /> O'lesel Contaminated Sall , o 0 C-Carton
<br /> I f i B - Bag
<br /> T -Truck
<br /> ❑ ❑ P - Pounds
<br /> Y-Yards
<br /> r � ❑ O-Other
<br /> I hereby certify that the above named material doss not contain free liquid as defined by 40 CFR PartEI= 1260i 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
<br /> classified and packaged, and Is in propndrtion fpr Tansportati accor frig described,
<br /> to applicable regulations
<br />!, Ronald K. Rinehart
<br /> Generakit Authorized Agent Name _ _ x t _ _
<br /> - Signature, Shipment Date 1,26
<br /> r
<br /> TRANSPORTEN
<br /> ' ;, °:i,� w•r. ,Ewr�s fes.. Y _
<br /> '�"'`�c,'` � r � " .^��N � "i�'r��_4�sr�-r};'1"_-''�f'• s� l�, +y-� r�'.S :��+y�```'.,ti ..F,,,,
<br /> Tackle No. � r •-, '.
<br /> 55w�, Ar` �' Phone No �
<br /> W� 0 ., f h �+,�'^ lv-00x,.--4_V�':k a 7^,
<br /> Transporter Name` M. P: Er f0onmerit�i Services-�,
<br /> 1 ,
<br /> vit4&.- _ r ,,rDriver Name(Pani}; �t"Q 5�'• ' �p r�
<br /> JArI� orf t� i•' i•_•,r�y,�.,r ,U -t F-! M
<br /> Addressw340Q: Ma O S� ep ks`j S•3. ��y w,. ^; ti 44fiC�,",7 :,4t-3, `�i,�' �r, p ;far,'
<br /> t S Vehicle
<br /> Stat _ r• Y`'F� R
<br /> te n, a ., ¢C r#i 'Jti:�. +► ['asst ��a License No.
<br /> ,• -,dlikers,fia d Ca, 9 30B�" ^-
<br /> �, r `+'
<br /> Vehicle Certifrcation ' ^= • y" '
<br /> 'r�ty� ?i �"�L' >�a"{_¢ � 6s:_4fll.y�,e x Kr•s Wc� y, �^p° x '��►
<br /> �5 Rftf `�irr-mow. N�
<br /> 3 here cgrtif�r that theabove named maters r+ras icked u'�'`�`'`'�
<br /> at the generator site ilated above. �' P p �,I hereby,certify that ilia above named material was d3livered with-,
<br /> - r "t , incident to the destination listed b !" =Y
<br /> rYr•rr 4 ' ; r+ ice" r v�'" sal!. .
<br /> T
<br /> 10 1, , � , Driver Signa
<br /> iptrtant Dater,
<br /> - � �`' �•+-� �` k `°-��.��;}�°�fr"f
<br /> �'%�`""��c'k!!" yr+lt'�a:�r" �l"^�`,t.*�=x",tF",•�i,=� �a 1; �9.".Y.'t �'=.- ••• � � � r� "'4
<br /> Lite Name,'=Vaacrs aR Sa�titary,Uandt�,f���' ,~+1.;,r�. t1�,r ►�:�, �y �� ,, � �, Z
<br /> - Phone No. 4.
<br /> ddress �i4t3Ql' yVascoYRoad�: ave rr� '�z945517 .: 5:- °,�v ryfq z ,_ :q1 z,
<br /> 'S'� ai,3�'�Ss S;�v���,�,���.� ;sE,yc.t., ►R,��y«,�r���'+'r,�����s�"—�yyTt�y�_�',.`-+r,Ya i:'��'r��—ter..' ':r',:rY�,'4'..�`'�=i"" 5� r4 C"•' 4Z '' r
<br /> �,r f ,� H fir, • ti s�.+,,� r`�Y.'#Ya.
<br /> hereby certify that the above named material has been accepted and to the best of m n ed the foregoing Is true and accurate.
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<br /> �Er;+t�lri[a� : r%~P"
<br /> / rr Authorized A - = ',
<br /> )a r r f s ti —r - Tip—nature
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<br /> ~ rn RedeF121 Date
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<br /> TRANSPORTER RETAIN � *�
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