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0ROWNING- Waste6FI 'Acct . No. 1'009042 No906031 SystemsTt" FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR Generator Name Mid Cal Leasing 1549 F Channel 5t Generating Location address Q Box 55103 Address Stockton , Ca at uckt:on , Ca 95205 hone No 4 3 6 0 Phone No FI Waste Code L A 4 d 0 9 1 5 2 3 7 6 Containers Type Descri tion of Waste Quandt Units No T $ D- Drum mB - Sag U i ese l Contarn-inated So-i I tD B - Bag EE:= ❑ EE E:] T -Truck P - Pounds Y - Yards ❑ m ❑ O- Other I 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 40 CFR Part 261 or any applicable state law, has been properly described, ' classified and packaged, and is in properC o itton for tr sportation cordin to applicable regulations FConald h Rinehart _ enerator Authorized Agent Name Signature Shipment Date truck No ! Phone No 9 1 6 668-9316 Transporter Name M P Env-i rcnmernt a 1 Sery 7 ce I Driver Name (Punt) i iddress '400 Manor, at-r eat I Vehicle License No/State / 6�,I,e r s f lel d , Ca 93308 Vehicle Certification I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the generator site listed above out incident to the destination listed below 00, Driver sire Shipment Date DrKer Signature Delivery Date DESTINATION Phone No �teName`Jasra hoad Sanitary i_airdfI II! I 0 — r{ 4 7 0 -j 1 [dress 4 ()01 VaSc0 Road , Liver uteri , Cu 131550 Ihereby certify that the above named material has been accepted and to the best of m dge the foregoing is true and accurate ul Autliuiicud Aynnt N S1 nature ��.�� Htncetpl Dale + _ P S E I J _ 6FI260 720 [/ UNlQADING AREA COPY