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�., - ' N0 798434 <br /> � w systems =M <br /> •.. � EArilS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFES <br /> e <br /> Egan[ of Stochi,-_r <br /> �r i.enerator Name Generating Location <br /> Address P_ O Bo x 11 10 1 1 A 3 N_ Wo ha r <br /> N <br /> Address <br /> Stockton , Cr_ _ f'G2CG` S:oCI.`a' r'w <br /> Phone No L f 7 I Phone No �— <br /> BFI Waste Code �❑ 1 14 Containers Tyl <br /> Description of Waste Quantity Units No T pe D- Uri <br /> 1 ❑ m <br /> 0i osaI :.Mr t a M i��t?� So C-Ca <br /> I r �_u T <br /> ` B - Ba <br /> T -Tr, <br /> P - Poi <br /> Y -Ya <br /> DD� ❑ Ott <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any appitcabl <br /> state law, Is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly describe( <br />' classified and packaged, and is in proper conddion ftranspo etton according to applicable regulations <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> " 1195 - FeyI <br /> ,Truck No Phone No <br /> Transporter Name En �''r'' r t a 1 Ser,. IcesDriver Name (Print)--/',,'( v'✓C <br /> Address E7 0 Manor S t r e t Vehicle License No/State I/ TI&J� <br /> S a Ic a r s fi;a l d, Ca . 93208 Vehicle Certification <br /> J hereby certify that the above named material was picked up ! hereby certify that the above named maieriai was delivered Y. <br /> ;11 at the generator site listed above out Incident to the destination listed below <br /> o / � <br /> _ o G <br /> Driver Signature Shipment Date Driver Srgna�ture� C/C/ �_ <br /> Delivery Date <br /> DESTINATION, • <br /> Vasco Road Sanitary Landfill � U Y 20 ! <br /> ,Site Name Phone No �— <br /> Address 4001 VEs.:.0 Road , L-ti er-icr'F , Ca Q_" 5�^ <br /> hereby certify that the above named material has been accepted and to the best of my kno r ing is true and accura <br /> t!1► t Authorixad A on Signature Rece� t ar'.':_ <br /> a <br /> �- PA CODE � <br /> V <br /> � J 8f I?i <br /> TRANSPORTER RETA �! <br />