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0 <br /> Waste No. <br /> 913394 <br /> _ Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WA! ,TE MANIFEST <br /> GENERATOR <br /> /1 F <br /> Generator Name fk 0,('yAJ Generating Location ' ��� 7/ :5�, cd"W, A6 <br /> Address 514 Address ` C <br /> Phone No. Z Z ? 3 Phone No. <br /> BFI Waste Code C �� G� .� 9 2 14141ololl Containers Type <br /> Description of Waste Quantity Units No. T e D-Drum <br /> FTT� / �z) m C- artor, <br /> B-Bag <br /> SO/L T Truck <br /> ❑ m a P-Pound! <br /> Y -Yards <br /> Elm1:1O-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 propQily.described, <br /> classified an ackag,9d, aqd is in proper condition for transportation according to applicable regulations. �«..� <br /> Generator Authorized Agent Name Signature e' ... . Shipment Date <br /> TRANSPORTER <br /> Truck No. Phone No. <br /> Transporter Nam JDriver Name (Print) r <br /> Address Vehicle License•No./State E: CA <br /> Vehicle Certification <br /> I herebycern y that the above named material was picked up I hereby certify thebove named material was delivered wit <br /> at,the gene for site listed above. out incident to th 14 jination listed below. <br /> J 0 <br /> Driver gna re Shipment Date Driver S gnat re Delivery ale <br /> DESTINATION <br /> Site Name Phone No. <br /> Address <br /> I hereby certify that the above named material has been accepted a�d to the best of my Knowledge the foregoing is true and accurat, <br /> 0 <br /> Name of Authorized Agent Signature 'f Receipt Date <br /> PASS CODE <br /> 10/88 BFIk0 <br /> GENERATOR RETAIN <br />