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0ROWNING-I WasteOFT Acct . Na_ 10091142 "° 906x24 Systems ;M NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR Generator Name M i d Cal Leasing 1649 E Channel St Generating Location Iddress P C - Box 55103 Address Stockton , Ca 3t o(,kton , Ca 95205 hone No 2 0 9 5 3 6 e Phone No —1 F1 FI Waste Code A � 119 1 f 9 2 1 3 7 9 5 Containers Type Descrl tion of Waste Quantit Units No T e 0 - Drum C - Carton f� e el Contaminated So-i1 1 � m T B - Bag m ❑ T - Truck El P - Pounds Y - Yards ❑ m ❑ O- Other 1 hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable state law, is not a hazardous waste as defined by 4 CFR Part 261 or y applicable state law, has been properly described, ' classified and packaged, and is in proper cnitin � transpor on ac ring to applicable regulations Id K . R-ineha rt 3enerator Authorized Agent Name Signature Shipment Hate ruck No > u J Phone No 916 668-9116 Transporter Name M P Envi ronmenta 1 aery ices Driver Name (Print) Iddress 3 4 0 0 Manor Street Vehicle License No/State Z{ �?Iew _e'6� R a k e r s f i e l d Ca - 93308 Vehicle Certification hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the nerator site listed above out incident to the destination listed below Driver Sio0afure Shipment Date Driver Signatur Delivery Date DESTINATION Site Name eco Road 5ani tart' Laridfi l I 1 4 7 -- 9 1� Phone No 0 — 4 Address 4ftq I Vasco Road , L-tvermare Ca 945`,0 -- �I hereby certify that the above named material has been accepted and to the best of myknowledge the foregoing is true and accurate of Authorized A ent 5i nature Receipt Date r PASS CODE (10186 BF1260 720 UNLOADING AREA COPY