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IoSystems <br /> waste. <br /> >•M <br /> No. 916.1313 <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> � I <br /> � e W-erator Name iX r�i'i PDUC`I',� <br /> Generating Location <br /> S <br /> Address. 450 E. G,ANTL]M pazD <br /> Address SAME <br /> f <br /> TRXY, CA 95376 <br /> SAME <br /> jPhone'No. <br /> Phone No: <br /> BFI Waste Code 0 ti I <br /> z 3 � !U Containers Type <br /> Description of Waste +Duanti# Units Nq. T e D- Drum <br /> C Carton <br /> B Ba <br /> m 9 I <br /> �J T Truck <br /># 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 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition for tr nsportation according to applicable regulations. <br /> .I. <br /> Generator Authorized Agent Name . <br /> Signature Shipment Date <br /> i <br /> Truck No. <br /> C Phone No. <br /> Transporter Name Driver Name (Print) <br /> Address <br /> Vehicle License Na./State <br /> Vehicle Certification <br /> 1 hereby certify that the above named material wasicked u <br /> P p ! hereby certify that the abov <br /> at the generator site listed above. y e named material was delivered with- <br /> out incident to the destination listed below. r <br /> /. <br /> . 4' atureG 6 <br /> 11 <br /> Shipment pale ver ignawre Delivery Date <br /> I <br /> DESTINATION <br /> Site Name <br /> Phone No. �— <br />' Address Ella:= <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br />_ Nar`�- '..Authorized A aril ///�J i <br />` 51 nature '~���"- Receipt Date <br /> i Y <br /> r PASS CODE <br /> 10!86 <br /> • •, SF1260.720 Y <br /> UNLOADING AREA COPY <br />