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Waste No 906O46 ! f3F'T Acct . Na_ 70f);9042 S]/StetT""- NON-HAZARDOUS SPECIAL WASTE MANIFEST OWNING-FERRIS INDUSTRIEESS • neratar Name Mid Cal LeaSltle Generating Location lb49 E Ct)an1)e3 3t dress Is 0 box 551U3 Address Stockton , Ca 4 .at C C,� t_Llr) , Ca 95205 lone No J f 3 6 5 3 9 Phone No �— c f 5 Cl 9 9 2 3 4 9 5 Containers Type if I Waste Code D - Drum Description of Waste Quandt knits No T pe C -Carton I Contani-inated Soil t i3 � B - Bag T -Truck ❑ m ❑ P - Pounds Y - Yards ❑ m ❑ O- Other hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part l260�10 or any applicable state law, is not a hazardous waste as de ed by 40 CFR Part 261 or any applicable state law, has been properly described, i ' classified and packaged, and is in proper/oon 1tion for (a sporiatton carding t pplicable regulations neralor Authorized Agent Name Signature Shipment Date I TRANSPORTER boil �uck No `'� a/l J cJ Phone No 3 1 6 668 9 3 1 6 M F' Envtroimienta] Ser,v-ice� f Transporter Name Driver Name (Print) �d/�i �. � `T✓� Iddress f`1 i t; "t"r)r:r r r��e t Vehicle License No/State 8 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 generator site listed above out Incident to the destination ted below aver Scgnature' Shipment Date Driver?9 gnature Delivery Date DESTINATION Site NamV,:��('`� Rc arl an-r tai,y Laid f 7 1 7 Phone No 6 1 11 — 4 44 II ft y iLJ Iddress N tics 1 Vasco Road Li verriiore, Co 91 r"r50 hereby certify that the above named material has been accepted and to the best of k owledge the foregoing Is true and accurate i Authorized Agent Signature Receipt Date --� PASS CODE 10186 ? BF1260 720 UNLOADING AREA COPY __J