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r <br /> .y <br /> S <br /> 4 8 6 1.1.:I. <br /> Waste <br /> systems ", NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> 13Rov1A lrJG FERRIS MDUSTRIES .R`Vl <br /> t ' <br /> I,•r[ Jr ti• i, <br /> l <br /> r ' Gr;neraur7g ocalnn ___._. <br /> Generator D311rsr _---------- ----Address <br /> -- _-:�_�-- r � � _l.� 4 '_.� J� Phone tda I,--- <br /> [.7 f I ll I l - -- 7yp� <br /> Phone No. L_4_ 1. __!_ <br /> _ - Containers <br /> fS lI —11 0.13rll,n <br /> {. I I ---.1 I� 4 4_ .I 4 -..L .__.S S. 4 _Quantity U_ --- on <br /> IJu. Type <br /> 13171 Waslr,Coe,,' _ C.C'rrl <br /> - 1 1 <br /> 1�a.3CrIPh- of Was1L -- -_ ... i (. i 4 I �- -� L-J i �_� LJ 13-R£li� <br /> L�_-�_� .Y- L- 11 <br /> _.__.---- �-- -- T .Truck <br /> p_Pounds <br /> f "`' MELD �.� —' Y Yards <br /> qp CFR Part 260.10 or ani•uPOcable <br /> applicable slate law, has been property described, <br /> `1 Hereby cerlily ilial ilre at�Ove Warned material does not contain lfee liquid as define($by <br /> Stale lata, is not a hazardous waste as defined by 40 CF11 Part 261 or any PP applicable regulations. <br /> stt1,classified�.nd Packaged,and is in proper condition for,lransportalion according to app' <br /> A" l� C r•,�_ ��(/t["a.7� l�`,�:� ��'f .% ..'r. _ _..� 1_��.-- Slupnwnl D:310 <br /> Sign 91ufL f ! t Ali yY'-r 37- <br /> [ rn.alur Aullor d Ap,ml narna ". �� ` xi kf; ,t :..j.,ke�,�F iu,r �:�"'! •y. ,.'+ g+,..�. . <br /> Zr <br /> "� '�i'.#'�'-•__-�`}��3...,� cx. < <br /> PholSe No. - <br /> Truck No. <br /> Driver Name(Print) <br /> Transporter Name -'4"r r-: fry" �4I=Alf, <br /> r-111- .. <br /> Vehicle license No./Stale_--- 'T <br /> Address -------- <br /> ,: ; :.����.'' r r=�" � '� _-.- VChicle Ceriificatfon—..-------( 7 <br /> rilat�— Ife above named rnaterial ti,�as picked up 'S i hereby certify <br /> ytth t the above <br /> ol°n listed be ewerial was delivered with- <br /> 1 hereby cerlily that t out irlcd <br /> at the generator site k'ssled above. <br /> n—oewefy pale <br /> 151 <br /> - — WImiarll MileRIDS P,T <br /> [7rivrr 5i0nalure <br /> Dr ver Srryn',wur <br /> ,ftz MUM <br /> 3 «,�'s} �x�-�?'�r c�l'.,._�.1�"�:..'t,���t';` � '__._.._. ��•..'i t F t 1 T r t <br /> —� <br /> 1•.I i i 1. Phone No. <br /> Site Narne <br /> Address <br /> - — --l her°by.cerlify.111a1..1he above named material has been accepted and to file best°f my knowledge the foregoing is true and accurate. <br /> � i <br /> - <br /> - <br /> PASS CODE <br /> 1311`12r,D 720 <br /> rDrea <br /> ROME <br /> 3ra.,r,r;l'r'11tf-t! I?'"{i'Irt <br /> , <br />