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�JWaste � BFI Acct - No. 1008042 No O <br /> ' 906 33 <br /> Systems TM NON-HAZARDOUS ROWNING-FERRIS INDUSTRIES SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> ' Mid Col Leas�nca 1649 E _ CI�arZnol St <br /> Generator Name Generating Location <br /> P 0 Box 55103 Stockton , Ga <br /> ddress Address <br /> Stockton , Ca 95205 <br /> 4 6 S 9 <br /> hone No 1 <br /> 0 Phone No =47-TJeQ S <br /> FI Waste Code .� 1 Containers Type <br /> Description of Waste Quandt Units No Type D- Drum <br /> r� D C -Carton <br /> Uitesel Contaminated Soil L <br /> B - Bag <br /> T -Truck <br /> E:I= P - Founds <br /> Y - Yards <br /> ❑ �`�`� F] O-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260W10 or any applicable <br /> state law, is not a hazardous waste as dB ed by 40 CFR Part 261 or any applicable state law, has been properly described, <br />' classified and packaged, and is in prope� coildition fqansportatt ;7z7DEP�= <br /> cable regulattons <br /> J 1 <br /> t���i�alc3 I� Rinehart <br /> fr--'� <br /> enerator Authorized Agent Name Signature Shipment Date <br /> truck No dl'-�J Phone No 9 1 6 668-9316 <br /> M P Environmental Sei^v i ctj� <br /> Transporter Name Driver Name (Print) <br /> Iddress 3100 Manor Street �— <br /> Vehicle License Na e <br /> Sal.ersf1e-1d , Ga 93306 <br /> ff Vehicle Certtficlatioonn <br /> hereby ce�at�or <br /> y that the qve nam r� terial was picked up I hereby c ify lfat the a e amed material was delivered with- <br /> at the end site lit above out ince nt the destr do listed bel <br /> E C Y <br /> Driver Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> ite Name Va,.co Read Sanitary l_andt i l 1 <br /> Phone No <br /> ddress 4001 Vasco Fxoad , Livermore , Ca 94550 <br /> hereby certify that the above named material has been accepted and to the best of my knowled oregoing is true and accurate <br /> z <br /> F Authorized A eni Si nature Receipt❑a e <br /> 7� <br /> PASS CODE <br /> +� <br /> BF1260 720 <br /> UNLOADING AREA COPY <br />