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i Waste " No. 915928 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE .MANIFEST <br /> GENERATOR- . <br /> Generator Name 'x ��'=' PI[a3'S CO1?�r�iN'1' Generating Location <br /> Address 450 E. GRANT= R= Address � <br /> TRACY/ CA 95376 SAME <br /> 2 0 9 — 8 3 5 9 3 3 8 3 5 9 1' 3 3 ' <br /> Phone No. Phone No. <br /> BFI Waste Code C d � q 3 d Containers Type:; <br /> y Description of Waste QuantityUnits No. Type D- Drum <br /> ( 1 l C-Carton <br /> �`t 1 w G�t6Q lI .T B . Bag. . <br /> T -Truck <br /> ❑ m ❑ P -Pounds <br /> Y -,Yards_ <br /> ' <br /> El m E Q-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 laws has been properly described; <br /> classified and packaged, and is in proper condition for ansportation according to applicable regulations. <br /> B FAG», PLANT r <br /> Generator Authorized Agent Name Signature t Shipment Date <br /> A. <br /> TRANSPORTER. <br /> Truck No. Phone No. <br /> 4�Transporter Name —., Driver Name (Print) <br /> AddressX!:;;L- <br /> _ / Vehicle License No.IStat- <br /> Vehicle Certification <br /> i 1-hereby certify !>hat7the abovq named material was picked up I hereby certify t he above named material was delivered with <br /> at the gener r si Iiste ov out incident he estinat' fisted be <br /> _E1 I I- <br /> Delivery Date <br /> Driver Signature Shipment Date. river signature ry <br /> DESTINATION. <br /> Site Name Phone No. i <br /> Address . <br /> 4 <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. i <br /> ie.el Authorized A ent, Si nelure Receipt Date <br /> } <br /> PASS CODE <br /> UNLOADING AREA COPY <br />