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Waste � No. 91-6016 <br /> � l� <br /> Systems MS TM <br /> BROWNING-FERRIS INDUSTRIES ON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> ' Generator Name Generating Location - ' <br /> E Address 450 E. GRANTL M ROAD Address SAME <br /> TRACY. !k CA 95376 SAME <br /> Phone No. . 0. 9 ' '$' 3 :5 9 1 3.. 3 2:. 4... "9 -:8 3° 5 . "9 1 3 3 i <br /> Rhone No. <br /> r BFI Waste Code b S o i 9 cf Z jr 3 3 (5Containers Type <br /> Description of Waste Quantity UnitsNo. T pe D- Drum <br /> it. <br /> C Carton <br /> s6. w'. + �t�St?� C7 T B- Bag t <br /> T -Truck <br /> ElP Pounds <br /> Y-Yards <br />! ❑ m ❑ O-Other <br /> 1 hereby certify that the above named material does not contain free liquid a5 d9fined-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 con ' ' for tr sportation according to applicable regulations. <br /> BOB FAGUMM, PIANT MWIMM J E%L 'G�� o I Z 1 G 1 Cr <br /> Generator Authorized Agent Name Signature „r` Shipment Date <br /> """' TRANSPORTER' <br /> Transporter Name M�ehicle <br /> river Name (Print) kc�Address +� License No./State <br /> C Vehicle Certification <br /> I hereby.certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the_generator site listed above. out incident to the destinatio listed below. <br /> gn re Shipment Dale Drive re Delivery Date <br /> 1 • <br /> Site Name Phone No. �— <br /> Address <br /> I hereby certify that the.above named material has been accepted and to the best of my kno ledge the foregoing is true and accurate. <br /> Nae' 4uthorized A ent Signature' Aeceiot ata <br /> PASS CODE <br /> 10188 <br /> BFI280.720 <br /> . . UNLOADING AREA COPY : : .. .. - <br />