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i a Waste n 8FI Acct . No- 10090412 No 947973 aSystems TM BRO NING-FERRISINDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR Generator Name Mid Ud I t �`��i 'g Generating Location dress P 0 Bo>. r.)5103 Address 'St ocl torr, Ca None No 1=9 ——LL16 r 3 6 0 8 _ Phone No �I Waste Code �' A 4 ' I ` 1 B 3 T ri Containers Type Description of Waste Quantit Units No C -Carton T pe D- Drum lest l Cantan, ir,aled Sail t3 m I B tag EI=' T -Truck ❑ m ❑ P - Pounds YYards I _TTI FI ❑ 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 proper co dation f�r�transportati accort to applicable regulations Id k fili,i-haat _1 r Authorized Agent Name Signature Shipment Date • tck No '1 O f Phone No 4 15-6b8 -93 16 Ivl P En\,1r''onmer-,i cal ocvry Ices nsporter Name Driver Name (Print) I iJtj htac)or at reset dress Vehicle License No/State ac is i r f I e 1`1 , C a ''33 G`` Vehicle Certification -S1 a %)- 1 ereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- the generator site listed above out inct ent to the destination listed below l � � )river Signature Shipment Date Dnver Signature Delivery Daae �e Name oi,V Lai r)J F 1 1 1 5 1 1 (J 4 I Phone No rddress 1001 `Jas)_') Read L 1 ver nior e , Cc 94 950 lereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate 1!@Authorized Agent Si nature ` Aacerpt pate 4y� ' PASS CODE U4��AW-ACOPY BF1260 720