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Waste` No. <br /> 915933 <br /> Osystems TM <br /> SROWNING.FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name ix]ANr PMA IDU(M-' C2N'Fi'AN-Y Generating Location <br /> Address 450 E. GRANITMiE ROAD Address EAME <br /> - - -TRACY, CA 95376 g_A <br /> Phone No. 2 Q 9 8 3 5 =37..I- 3Phane'No. ? 0 Q i 3 5 a . <br /> BFI Waste Code fa (-f O �� C7 f Z 3 3 3 Containers Y Type <br /> Description of Waste Quantity Units No. Type 0-Drum <br /> �bd k, �tR C-Carton <br /> 1 5C� I F L t li� B - Bag. <br /> T -Truck <br /> LLI I ❑ m ❑ P - Pounds <br /> Y -Yards <br /> ❑ m ❑ O-Other i <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 Ilaw, has been properly described, <br /> classified and packaged, and is in proper condition for nsportation.according to applicable.regulations. <br /> BM FAa N=r_PLAN NAMM t U/.� t'; , 1 2. 6 rT z <br /> Generato..Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER' <br /> J <br /> Truck No. ` Phone No. <br /> Transporter Name Driver Name (Print) <br /> Address _ __ll � -t'�E �r��� Cwt Vehicle License No./State <br /> Vehicle Certification <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the gen for 'te listed above out incident to the estination listed below. <br /> a C?, <br /> ter r <br /> ignaturw Shipment Date 5 a re Delivery Dale ; <br /> t • <br /> I <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.knowledge the foregoing.is.true and accurate. ... , <br /> Nam ulhorizad Agent Signature Receipt Da e <br /> J4 Ifs <br /> PASS CODE <br /> 10!86 8F1260-720 <br /> UNLOADING AREA COP`.! , <br />