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,�` �, 'Fli.4tr' l T •� ? -F �18T �� °��r �e L�•�}�•{b�_ t�4..''� w fe. <br /> cp <br /> O' Systems <br /> ����� <br /> Ne. 4�17�.7 <br /> TM NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> nnov,;141 iG•Flinnis INDUSTRIES wry x <br /> xf.N 'd*iaft�S � � <br /> t':rUC,1l. Stntinn � �� <br /> UNII)CAL t14i1keL int; Generating Location— <br /> Name <br /> ___-- <br /> Generator Nae <br /> f,01 £. ECr�t r.i east ,t+srr• __ .�.-. <br /> f> 0, ilcrs ;".t3?1 _�_ _ Address - — -- -' <br /> Address -- Lud 1, Gil <br /> Matca, CGt. 91-102 if „��_-------- — <br /> �r -1 _ 7 <br /> ]-12 3 G rs phone No. � � ���—� <br /> Phone No. �,T N r - <br /> _ � Gontainers 1 TYc1° <br /> �1__L -1 � U•I7rnm <br /> 13Fl Waste Code �—� I]escniplion of Waste __ Quantal — Units tie• _ Tyke C.C:u1un <br /> - - 0 1 ,; - l Lllr� L g ��� <br /> ll�tr.av,lnu� Sol i fr�rt T •Truck <br /> scar' ;+r.ion of undergruuttct �l L� p.pounds <br /> _;r u:uti f Cuulc L J i—k y.Yards <br /> -r Q-Other <br /> contain free liquid as defined by 10 GFF+ Part 260.10 or any applicable <br /> state taw, is riot a hazardous waste as defined by 40 CFR Part 201 orca diapplicable lata! regulal an�4en rroperly described, <br /> 1 hereby certify that the above named material does not <br /> classified and packaged,and is in proper conddior,for transportation o <br /> Prz <br /> r f ' �--.^^ _ 5' iter•.Date <br /> / T! ?' <br /> Signature ! / •" �.'�`jd <br /> �Generalar Authorized'4gerll rlamQ _ s:_._- - � 1111111 <br /> ' -y, <br /> MEM, tl •P--t.� <br /> 11ri-631-G050 <br /> Phone No. <br /> i Truck No. -- d f�� i 1I -e- <br /> Gillard Trur,kin;, 1"- (Print)N2nt[{Print}�- <br /> Transporter Name --"^ r' 19 <br /> I <br /> P.D. Box 218 _ _ _ Vehicle License No-Mate_ <br /> Address pis;3 V 4P CJ <br /> 11 91544 Vehicle(30ilicafiun_ <br /> I hereby l erlify Ctat the above named material was delivered with <br /> l i hereby certify that the above named ma:rrial'.vas,:,ke: up oil(incident to the destine tion listed below. <br /> at the generator <br /> to listed above. '1 <br /> _��, Delivery Date <br /> t-- r y�1 �!•`T c 51h,pmr;: eats 7river 5i��atwe <br /> � prives5ignalure ,r <br /> B.F.I. Vasco Road Landfill Phone No. <br /> =5 _ a l a s 1 <br /> Site Name <br /> .1001 North A.Sco Rd., Liversiore, Ca. 935,0 <br /> Address <br /> thereby certify that the above Warned material has been accepted and to the best of my <br /> knowleda fie foregoing is true and accurate. <br /> i Ftace' tt D�- <br /> Si naluse <br /> EMU <br /> PASS CODE.�••- - <br /> _ 13Ft260.720. <br /> i <br /> 10186 <br /> TRANSPORTER RETAIN <br />