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No <br /> irSystems tin 798032 <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br />� <br /> v�'F'l ��t Cwt`G Lei <br /> r <br /> alor Name <br /> Generating Location <br /> ddrePSS <br /> Address <br /> hone No �� Phone No <br /> r � EEL= <br /> FI Waste Code y 4 ` <br /> ContainersFB - <br /> pe <br /> Description of Waste Quanta Units No T pe rum <br /> r - � - ' _ �a - "a: ^� arton <br /> ag <br /> T - Truck <br /> ET-= [:1 P - Pounds <br /> Y -Yards <br /> ❑ � ❑ O-Other <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 CFA Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition for transports ion according to applicable regulations <br /> orator Authorized Agent Name Signature <br /> ' Shipment Date <br /> i <br /> o .41171` Y Phone Na <br /> '�! P Enti ranman�a� Scrvi�es <br /> transporter Name Driver Name (Print) ,/ <br /> 3400 Manor 5'reet <br /> tress Vehicle License No/Stat <br /> Eakersfield , Ca 93308 <br /> Vehicle Certification <br /> leby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> t e ge !nerator site listed above out incident to the destination listed below <br /> _ r <br /> ver s,gnal6re <br /> Shipment Date driver Signature( Delivery Date <br /> DESTINATION ' <br /> e Nameasca Roved S&n i Lary Laindf i l l <br /> Phone No <br /> 40C1 V21sea Rosd , L-,. e,Pmore. Ca �45E0 <br /> Iss _ <br /> by certify that the above named material has been accepted and to the best of niyy owledge the foregoing is true and accurate <br /> 'Authorized A ant <br /> I <br /> Si nature Rece i Date <br /> PASS CODE <br /> t3F1260 720 <br /> ----- ------ <br /> TRANSPORTER RETAIN <br />