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Waste. <br /> e_::. o Na. 916008 <br /> systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Na T. <br /> me Generating Location <br /> Address 450 E. CTRANE'LINE ROAD SAME <br /> i <br /> Addressi <br /> TRACY, Ch. 953-7G 1 <br /> Phone No. .� .�:3 5 . 'g <br /> 2 Q 9 Phone No. 2 :0 9 8. ;3 <br /> 8F1 Waste Code z 3 3 i b ContainersrB - <br /> Type <br /> Description of Waste Quantit Units No. Type Drum <br /> 8 p + f7Carton <br /> t�JBag <br /> �J T Truck <br /> s�. P - Pounds � <br /> Y -Yards <br /> O-Other <br /> I hereby certify that the above named material ❑ Eldoes 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 nsportation according to applicable regulations. <br /> BM FAGZNMS, PL�pMW .7 GlIJ O f d Z q <br /> Generator Authorized Agent Name Signature t <br /> Shipment Date <br /> Truck No. Phone No. i <br /> Transporter Name Driver Name (Print) Fri <br /> Address Vehicle License No./State <br /> Vehicle Certification <br /> 1 hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at thIgerator site listed above. :inci -{nt to the destination listed below. 1 lk— <br /> ure Shipment Date Signature Delivery Date <br /> DESTINATIOM <br /> Site Name <br /> . Phone No. �— <br /> Address <br /> 1.hereby certify that the above named material has been accepted and to the best m know edge the foregoing is true and accurate. <br /> Namit� attronzed A ent Sf nature Receipt pate <br /> • PAS ODE <br /> 10166 <br /> 8FI260.720 <br /> UNLOADING AREA COPY <br />