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Waste No. 951504 <br /> MSystems ,- <br /> tOWN[MG-FERMS INOUSTRIE$ NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENEnATon <br /> fr � <br /> noralor Name f� r Gunurutin8 Lovc�tian <br /> $"36 �� �1 T Address <br /> WMA Nn. Ll r Phone No. <br /> =1 wacto Coda t .J F� L3_ Containers TYie <br /> Dosuriplivn of waste R_ Ouantil Unita No. T e D-Drum <br /> g ❑ ® � C•Ci <br /> i�O,C'..n. / �,• -Baubg <br /> T <br /> T •Truck <br /> P•Poun" <br /> dG-'�/ � � ❑ -Yerde <br /> f/ ❑ m ❑ O-t7ther <br /> 1 hereby oortify that the above named material does not contain free liquid ac defined by 40 CFR Part 260.10 or any applicable <br /> state law, is not a hazardoua waste as definod by 40 CFR Pan 261 or any applicable slate law, has been properly described, <br /> classified and packaged, and is in proper condition for tran&p�ortallon ni:C4r'dif to appliGabin:vyulaliurra. <br /> r/rswr^tonorRatl Agem Ryrnt .1'19lt�tiF �rlpmant Lr�t� <br /> uck No. / Phone No. <br /> alnsporter Name, Driver Name(Print) 1 t t <br /> "+ rec �cr r -- VehiClo Urenbe NoJStdt <br /> ��,... Vehlcie Certification <br /> fereby certify That the above named material was picked up I hereby certify that tho uiwvv rrrsmed material was delivered with- <br /> the generator-siitto liatad above. outIrwident to the estination listed below. <br /> ;f ,.' - r, '• .��r '�f5�r4v.y Det t �' <br /> trlr S1(irratUr� a m+nt Cw* ri.�r 8k+wjro <br /> DESTINATION <br /> li <br /> lte Name Phone No. — <br /> ddress <br /> hereby Cenity Thal thu nUuve7 r iamad motorist ha3 boon accepted and to the best of my knowledge the foreooin0 iS Nue and acuutate. <br /> • RacaifH a <br /> amo of Asj1hMZ&d AQent, <br /> PADS COOP_.- <br /> 8F12W720 <br /> ]ftla <br /> TRANSPORTER RETAIN <br /> ZOd OFI �hIOHd W08A <br />