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tidy <br /> OWNING-FNON-HAZARDo <br /> Waste BFI Acct: . No_ 1009042 No 906027 <br /> Systems TM <br /> ERRIS INDUSTRIES USSPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name M�`� G`� I Leasing Generating Location 1649 E C13a��r�e1 St <br /> dress <br /> F' Ca fox 55103 Address Stockton , Ca <br /> Stockton , Ca 95205 <br /> tone No Ct — 4 3 6. I 0 � F-1 i Phone No �Y <br /> I Waste Code {� A 4 0 C1 9 t B21 1 1 3 7 4 5 Containers Type <br /> Description of Waste Quandty Units No ToeD- Drum <br /> C-Cartan <br /> Diesel Contaminated Soy 1 FFFI 3 $ m T B - Bag <br /> 7_1 ElT ❑ T -Truck <br /> 11 II P - Pounds <br /> Y - Yards <br /> F-1 ❑ ❑ O Other <br /> i <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable <br /> state law, is not a hazardous waste as defined by 40 CFR Part ?61 or any applicable state law, has been properly described, <br />' classified and packaged, and is in proper Fran ttron`fo ansportatra ccordr to applicable regulations <br /> t��ir a Id K _ Rinehart C <br /> enerator Authorized Agent Name Signature Shipment Date r <br /> TRANSPORTER <br /> ruck No Phone No <br /> ��(��� 916 666-9316 I <br /> .- Q�3 - - <br /> i <br /> Transporter Name PEnvironmental S e r 7 c ec Driver Name (Print) <br /> Iddress 4 OO Manor S t r ee t Vehicle License No/State <br /> UaI,if Sf le id , Ca 93.308 <br /> Vehicle Certification <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the enerator site listed aboveout ncident to the destination listed below <br /> Driver Signature Shipment Date Driver ignature Delivery Date <br /> DESTINATION <br /> Site Name Vcs �c ° Road Sanitary Landt i 1 1 �Phone No p�� A 7 0 <br /> i_--1_--I� <br /> 1001 Vasco Road , Livermore , Ca 94550 <br /> Address _ <br /> e <br /> I <br />�I hereby certify that the above named material has been accQpted and to the best of my edge-t a oing 1s true and accurate <br /> ,1/ 1 <br /> of Authan;ed A ent na re ! Receipt Date <br /> PASS CODE <br /> 1p186 �� BF1260 720 <br />` tit <br /> UNLOADING AREA COPY <br />