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'O'Fo" <br /> ase '� � ; <br /> r <br /> , a67s84 <br /> Systems �° <br /> TM S V "ter` f �y ^. <br /> In <br /> FERRIS ii\iJ[7 ,TRIES i NON-HAZARDOUS SPECIA T*4�ASTE MANIFEST <br /> A • . <br /> ,tk <br /> n <br /> ,Mame PRL`i?.'_fS s.z 7b; �'Y� ftF 'Qws7 <br /> Generating Location ARCd 5TTION*_112093 <br /> 70 <br /> Address 342' ,,c f '$I vd. <br /> uo� ` CA 9,,402 ,� aM` <br /> ?racy CA <br /> S <br /> ' 1 5 7 I 2 4 3 4 :� - 41'1', <br /> �hond <br /> No <br /> t; . <br /> 3Ft Code C ] ;� 5 0 9 0 2 5 3 6 U 7 <br /> Description of Waste Containers78ag <br /> Quantity Units No T pe 1iA2,. SCi 0 0 I' ��j LYards <br /> r F ""' ❑ <br /> -E==,❑ m ❑ <br /> )y certify tial the above named material does not contain free liquid as-defined by 46'C�'R�Part 260 10 or any applicable <br /> ;aw, is not a nazardous waste as defined by 40`CFR tart�Al or any applicable stat8; awr has been properly described, <br /> ,tfied and packaged, and is in proper condition for transportation according to applicable reguiations <br /> t <br /> ner norized Agent N:me .>°� <br /> r "I Signator - <br /> '� �r Shipment Date <br /> �+y R ` 'x'70,...f Z5,^Z 77-7777-777 <br /> 1 r - 0510) '634•-6850 ' <br /> r Phone No '} <br /> n ter Name 1 la$ d Tr Lick# ; 'Inc. 2Qt4" 2I IR <br /> r s- � - <br /> tp } ' ry <br /> eC Name (?tint) Y' L ay ti' <br /> iP.O. X18 ;7 °,, <br /> -,-� 3�Vehicre t_t UL��;, <br /> _ cense No/State <br /> $yr., CA> 9�5f=� .r ti' Prf ' ` <br /> `Vehicle Certification y, <br /> ,ertify that the above named material wasp rcku p I hed i' <br /> lerator site listed abo e ereby certify that the ab' }named material was delivered villh <br /> - out incident to the destinati n I to elow <br /> 'rr WflShj1pm],nW,Dat. Driv Signature Deirvery Date <br /> t3.F ' asco Rd. Landfill /� ~ - <br /> I?.O.i�02-10054 P�jon�NO <br /> ' .rt0 th V"-,L o Road, Livermore. CA 94550 <br /> ' rtify that the above named material has been accepted and to the best of my knowledge the foregoing Is true and accurate <br /> k� <br /> ,zect A eri. <br /> Ftt,c<i t Qrfu _ <br /> 4a, — <br /> J">r <br /> PASS CODE ' <br />