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waste <br /> j No. 9�� 019 .� <br /> oSystems TM <br />{ BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name TSI i E }iL� �'�>ivy Generating Location <br /> Address 450 E. GRANTLIlIZE ROAD Address SAME <br /> G TRACY, CA 95376 SAME <br /> Phone No. 575T_91 81 . 3 5 1 9 1 3 3 . Phone No. 2 0 9 —1 – 3 -5 9 1 1 1 3. 3. <br /> BFI Waste Code S k d I r q 2 3 3 0 Containers TYPc <br /> Description of Waste Quantity Units No. Type D - Drum <br /> C • Carton <br /> ���� •Vi�5 ¢ t B- Bag <br /> T -Truck <br /> ❑ m ❑ <br /> P- Pounds <br /> Y-Yards <br /> - ❑ m ❑ 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 applicablestate law, has been properly descr6o'd, <br /> classified and packaged, and is in proper con ' ' for t nsportation according totbpglicable regulations. <br /> BOB FAGi�, PLANT NSR 71J + GfJJ (I, Z <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER[ <br /> Truck No. _ . _ Phone No. r <br /> Transporter Name Driver Name (Print) L/ <br /> Address �� -SJR Vehicle License No./State 3 <br /> r. <br /> Vehicle Certification <br /> I herebycertify that the above named material was <br /> fy picked up 1 hereby certify that the above named material was delivered with- <br /> at the generator site listed above. out incident to the destination listed below. <br /> rri <br /> mrer Sign tur . , Shipment Date Driver Signatfir4i Delivery Date <br /> DESTINATION <br /> Site Name Phone No. <br /> Address <br /> 1 hereby certify that the above named material has been accepted.and.to the best jofmyjkKno;1edge the foregoing is true and accurate. <br /> Nt ',.Authorized-Agent. Signature Receipt Data' <br /> • PASS CODE <br /> 10186 SFI260-720 <br /> . UNLOADING. AREA :.'COPY <br />