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Waste No. 906281 <br /> Systems TM <br /> DROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name -RIZQ"UN I tock/NG- Generating Location a011!0_19 SytC0(7A4Nv_ jPw < <br /> Nddress Address CA L <br /> 'hone No. C 19131 2 9-12 1 -31 y Phone No. <br /> 3Fl Waste Code C y I C)I S I i I I U 3 ci -:� I y q &101 11 Containers r Type <br /> Description of Waste Quantit Units No. T e D Drum <br /> / m C -Carton <br /> B - Bag <br /> T -Truck <br /> Elm ❑ P - Pound <br /> Y -Yards <br /> ❑ m F-1O.Other <br /> I hereby certify that the.above named material does not contain free liquid as defined by 40 CFR Part 26.0.10 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 condition for transportation according to applicable regulations. <br /> i e• . , <br /> 3enerator Authorized Agent Name Signature Shipment DateTRANS <br /> • - <br /> TER <br /> l� )� Phone No. <br /> Truck No. <br /> Transporter Name ��tr A IZ�312('ASC Driver Name (Print) <br /> 4ddress 7S_T Vehicle License No./State �� 7 y•�d �`9 L <br /> j V ll I27 i ;{Z (/)I_ Vehicle-Certification <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered wit <br /> at the generator site listedabov out incident to the destination listed below. <br /> 7 � L/4IP11101-7191 -1 <br /> 7 <br /> Driver Sig ure ' Shipment Date Driver Sig lure Delivery Date <br /> DESTINATION <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 /> Name of Authorized Agent Signature 4VReceipt DK <br /> PASS CODE <br /> 10166 BF1260-7 <br /> GENERATOR RETAIN <br />