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waste a.,* Y <br /> . ..'. No. <br /> 916006 <br /> Systems <br /> BROWNING-FERRIS INDUSTRIES T� . NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> I Generator Name ;�tJi�TiI, 1','O t ;'TS i,{� '3.a', <br /> " Generating Location ` <br /> 1 Address 450 E. GPANff.,= %]AD Address SIS <br /> TRACY, CA 95376 same } <br /> HEil— . 5 9 1 .1 3 2 0 9 -- 8 3 5 9 1 3:.3Phone No. Phone No. <br /> BFI Waste Code 10 <br /> 5 L110 It 11 1 Z 13 Iq 3 3 U Containers Type <br /> Description of Waste D- Drum <br /> p Quantity Units Na. T pe <br /> y C-Carton <br /> So, = �l��, i�s�l ' ' $ p f T B -Bag <br /> T -Truck i <br /> P -Pounds h <br /> Y -Yards 4 <br /> ❑ m ❑ 0 Other <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, k <br />! classified and packaged, and is in proper <br /> condition for ansportation according to applicable regulations. <br /> (� G f ZL 1 6 <br /> Generator Authorizedgent ame Signature Shipment Date <br /> TRANSPORTEFV <br /> Truck Ncr' Phone No.112 <br /> Transporter Name" <br /> Driver Name (Print) <br /> Address <br /> Vehicle License No.ISta _ <br /> Vehicle Certification <br /> i <br /> hereby cert' t the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the for ite 1i d abnve. out incident 1a lest' tion ed below. <br /> r <br /> D nature Shipment Date Driver S slurs slivery Date <br /> DESTINATION, <br /> Site Name <br /> Phone No. <br /> Address <br /> I hereby certify that the above named material has beep accepted and to the best of wledge the foregoing is true and accurate. <br /> Nem -Authorized Agent <br /> Signature Receipt Date <br /> PASSODE <br /> 10!86 SF1260-720 <br /> : :UNLOADING AREA COPY <br />