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No.4U6108 <br /> ts Wast <br /> SysteMs "" NON SPECIAL WASTE MANIFEST <br /> nf10Y1tiIllG-f_tlplS INDUSTTIMS 0 <br /> .:�zrr;' %" 'th. Slat ion <br /> Ul;t;(AT. q <br /> r Generating Location <br /> E Ld.C�C:fllr I3i�[I:��r.inc3 <br /> Gonerator N011110 -- <br /> GU1 F. <br /> { _ �_-- Itt:Lt].et,t.__'n �arle-- — <br /> Address <br /> Address <br /> !I S n t latex, U�• 94402 <br /> rrt--���--r. � 2 3 G U phone No.�— <br /> �r 1 k rr Containers IYPe <br /> Phone No. —1- D•Drum <br /> �n k y_ � C]u_anlit� _ Units �� T� C.Carton <br /> fli t Waste Code L�t. —� DLeScription of Waste u l} 1 d 1 (1 ©-F3ac} <br /> 1•.Truck <br /> ! t v[i itJ'L�[CrrJl'S :,071 LrL1'1 ❑ I I f—pounds <br /> nnCa'llrt.lGlt :�L Ut:C.I::[uCCilt[1(3 L �J Y-Yards <br /> � ia.orcZc)e Lr�t?I. � El O-othor <br /> CSC uapplicableY�- <br /> 40 CFR Part 260.10 or any <br /> a0 CFR Part 281 or any applicable stale law, has been properly described, <br /> ! hereby ceritty that the above named material does not contain free liquid as dol;ne y <br /> state law, is not a hazardous waste as defined by <br /> applicable regulations. <br /> classified and packaged,and is in Pro condition for transportation according to app `� / `~ <br /> ��"" ' <br /> t � CIiU[�Cjf>'/ shiprnont Dale - <br /> It Namtr 4 r <br /> Genaralor AuOu;rized Ag � - <br /> Phone No_ <br /> 1 r, in41 <br /> Truck No. Print <br /> J)jjjEirci '1'rttcl:ir?car Inr:. Driver Name( ) <br /> Transporter Name ��_� �L <br /> �1E3 Vehicle License No.lState <br /> Address F C? 1-� •t ! ; <br /> i;yrottir Californid 94544Vehicle Certification ! <br /> [eked up I hereby certify that the above named material was delivered will'- <br /> i hereby certify that the above named material was out Incident to the destination listed below. <br /> at the generator site listed above. <br /> S ( � �7� rl a <br /> Y`. �� i `�—� ( / nY DauOrivr Slgnnluro <br /> Oliver Signature + - <br /> ,� Latxit'L11 phone No. ~ <br /> Site Name L�. I. �/c C0 T co, 94550 <br /> 'It]U1 Wrt-h Vasco.T�Cl.'► Li'rernorEr <br /> Address knowledge the foregoing is true and accurate. <br /> i hereby certify.that the above named material has been accepted and to the bust of m/ ' — ---- - -- - <br /> . netni 1 Da10 <br /> sl nature -^��—.�---�- <br /> --.,Jam©04 Aulhosized A©nt <br /> . - PASS CODE - <br /> - .eF1260.7 <br /> 10r&fi - - <br /> TnANSf'ORTM l?GTAiN <br />