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r , <br /> � 'n:.A'•' — yn-" r irnti-••#."a gyr - drxs�ww {�_+�..act•nvmYprv. �rimY�yY ..uer -.'rk�G+itr�fs�; �: <br /> a5e 4 0171 9, <br /> systems! <br /> NON-HAZARDOUS SPECIAL. WASTE MANIFEST <br /> i SM <br /> I <br /> I r.. v <br /> BROWNING-FERRIS INDUSTRIES , xk <br /> 775,77022 4 of'*Al' Station +rGu15 <br /> 4:"t1cAt, !!i!'k.a•tlns —_ -- --_— — - <br /> Generating Local'son—_----•- <br /> Generator Ihiarne <br /> r Address GO] E�. iC�•ttlrtt:un i.:511•' �._-----"— <br /> Address--- <br /> rox .,f 1 1 Lodi. C1 <br /> San i1;5Lcn. t;a. 94.102 <br /> f t 5 — 2 ; ; 2a G R Phone No. <br /> 1 Phone No. L' Containers TYP© <br /> I r--!�� ED=- G•Drum <br /> BFI Waste Code liii���-h Quanlit Units mEz nT <br /> C-Carton <br /> Desai tign of Waste ta L}J R Oaf <br /> i 0 rl — T-%Clu i[az>rduus Soil frg5n r1—`j f�{ p-Pounds <br /> �sravaClatl n! u55clergruund v-Yards <br /> Storage tASIEr; <br /> �, � ,—r�•--1 � ' O-Olhor <br /> ; I W <br /> 40 CFR Part 260.10 or any applicable <br /> 1 or any a Iscable stale law, has been properly described, <br /> I hereby certify that the above named material dons not contain free Ilquid as defined y <br /> state law, is not a hazardous waste as defined by 40 CFR octal on according o applicable regulations. <br /> classified and packaged, and is in proper condition for trap•fr. <br /> f <br /> Shipment Oale <br /> signal ro <br /> �Generalor Acthorized Ac�ant�Nama <br /> } s <br /> 115-634-6850 <br /> —} J Phone No. r <br /> Truck No. ! I <br /> UiilsSrd 'frucklng. Inc. <br /> Driver Name(Print) <br /> I Transporter Name <br /> 218 Vehicle License No./State <br /> Address / /i <br /> Byron, Caalifornia 94544 Vehicle Certification ���� S <br /> f ' <br /> 1 hereby c fW that the above named material was delivered with <br /> € t hereby certify that the above named material was picked up out incid t�t destinali fisted tow• i <br /> at the generator site listed above. <br /> i <br /> Delivery Dare <br /> Dale Driver signature <br /> fl Dwor Signature <br /> I IF <br /> i f;.r.;. Vasco Rnt�ri i.a55dfii! <br /> Phone No. <br /> Site Name <br /> 1001 :dortl5 lciscU Rd, , Llveraure. Ca- 93J5 <br /> Address <br /> rate. <br /> knowledge,th foregoing is true and accu <br /> I hereby certify that the above named material has been accepted and to thebestof f J <br /> Aacei Kase <br /> Si naurre _ } <br /> -. T �I Aul_ t�ar�=ed A�crn_���----:�—�` .• <br /> = PASS CODE <br /> BF1260-720 <br /> - 10196 <br /> TRANSPOriTER RETAIM <br />