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I <br /> Waste IFI Acct _ Na_ 1009042 No 907977 <br /> Systems TM <br /> 6 <br /> ROWNING-FE INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> [VI ld Cal Ltaus incl 16,19 F <br /> Generator Name Generating Location <br /> €� 0 bax 55103 Stock ton , t <br /> tress Address <br /> Ga 95205 <br /> gone No r r i i j Phone No —� <br />#I Waste Code Containers Type <br />■ <br /> Description of Waste D - Drum <br /> p Quandt Units No T�pe C _ Carton <br /> i t ( �ntarn J nald Sc7 i t I S a � I E <br /> B - Bag <br /> I� T - Truck <br /> El1-1P - Pounds <br /> Y - Yards <br /> ❑ m F-10-Other <br /> hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable <br />' btate law, is not a hazardous waste as deft[red by 40 CFR Part 281 or any applicable state law has been properly described, <br /> classified and packaged, and is in proper con ition f ransportatl n acca Ing to applicable regulations <br /> to I , R-tnahar t <br /> LW-+nr Authorized Agent Name Signature Shipment Date <br /> C •�i' - 2 I I �, and N�,3 16 <br /> luck No Phone No <br /> 1`9 P1`:n v 1 r in n i e n t a `� <br /> nsporter Name Driver Name (Pnrtt.�_ <br /> ),A 'JO f�#.�ip�r' est, r i��t. <br /> dress Vehicle License No/State <br /> Vehicle Certification <br /> lereby certify that the abov named material was picked up I hereby certify that the above named material was delivered with- <br /> the �generalor site Irstr d ove out Inci ent to the stination listed below <br /> Irrver Signature Shipment Date fiver Signature Delivery Date <br /> DESTINATION <br /> v.a.,co Koad :gar) t roily Lcirlri r i l l � 1 i7 44 7 � y <br /> Ie Name Phone No I I.___ — <br /> 1 (JI) I V6 �co <br />,ddress <br />�iereby certify that the above named material has been accepted and to the best of my knowledge the for fag-is true and accurate <br /> FIWAuthorize A ent SI nature <br /> Receipt Date <br /> 86 PASS CODE\r � 6F1260 724 <br /> UNLOADING AREA COPY <br />