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Waste Me. $51504 <br /> Systems TM <br /> 10WN1NG-FE> RIS 1140U5TMEs NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> CENanATOn <br /> <anoralor NameGanurating Locution <br /> idrbsa 1V 7l ,�k", ��l <br /> L�—.� Address <br /> t[Kiw Nn. Phone No. <br /> =1 Motto Coda 4 J F� � WTF./ U/ 1� �3 7 n Containem Type <br /> Descriplivn or wasteQuanlh Unita No. T e D•Drum <br /> T .Truck <br /> -- ❑ m ❑ P-Pounds <br /> -Yards <br /> C-Other <br /> I hereby oortiify that the abovo namod material does not contain free liquid at defined by 40 CFR Port 260.10 or any applicable <br /> stale taw, is not 8 naZardoua waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described. <br /> Ou3sified and packaged, and 13 in proper condition for transportation acGoidhV to xpijGQabin iayulaliulto. i <br /> 3 9 <br /> moo"""wurrionzec Agee!M1116 uau <br /> Phone No. ray . `� -� <br /> ansportor Name. _`-'TC Driver Nsme(Prin>) J1 t 1 L J <br /> yd�gg_ � � �r? t. 1 Ci• TCl fY r YehiCie LiCOn60 No./Stat-. <br /> Vehicle Certifietition <br /> tereby c9nity that the dbOve named material was picked up I hereby certify that tho ubuvo narnai rnsteriel was delivered with- <br /> the genorator site liated obove. outirtyident to the "tong;on listed below. <br /> hN SiQri6tUr� / ytitpm•ti Do* ri.•r 6�pnnr�ro _ rf�i Det <br /> D ESTINATION <br /> li <br /> I � I <br /> its Name Phone No. <br /> ddress ' <br /> "tory certity that die allwv0 named material hes boon 0000pted and to the best of my knowledge the toreooinq is true and accurate. <br /> Rasiot a <br /> • nature <br /> ung ni A.iinMmd <br /> t <br /> PASS CODE <br /> BFI2W24 <br /> Mild <br /> TRANSPORTER RETAIN <br /> I <br /> bpd 'ON 91,I01­1d WMAA <br />