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Waste <br /> t BFI Acct . No. 1009042 No 907979 <br /> 1Systems TM <br /> BROWNING FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> I St . <br /> Generator Name MI Go 1 Leas-Ifig Generating Location 1549 E Ch,=fir)e <br /> l• U Bax 55 7 t13 <br /> Lddress 5ktnn (. <br /> Address <br /> �t c�cl�t nn , Ca 852(15 <br /> hone No Phone No �— <br /> �, l9 2 9 5 <br />�FI Waste Code Containers Type <br /> 3 <br /> Descri tion of Waste Quanta Units No T e D- Drum <br /> lJ3c-e1 Conten:-irtated 5ral1 I � ❑ � (� C - Carton <br /> y u B - Bag <br /> ❑ ❑ T -Truck <br /> P - Pounds <br /> Y - Yards <br /> ET_= ❑ (�� ❑ 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 defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is In props("condition transport 11 n accor ng to applicable regulations <br /> l;r i s mi h R ifiehart "4'_11 - - _ <br /> for Authorized Agent Name Signature <br /> Shipment Data <br /> ruck No Phone No 916 668-9316 <br /> + <br /> M P Er)v-ti-�anmant=a1 Set -ic,_w <br /> ransporter Name Driver Name (Print) _,X�l ZlC-_ <br /> <l 0 L Mc:3noc ,� met <br /> ddress Vehicle License No/State <br /> fId Ga 53iGu <br /> +Vehicle Certification <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> t the generator site listed above out incident to the destination listed b low <br /> 7 i0ar +gnature Shipment{}ate r Signature g Delivery Date <br /> oral, <br /> d Stcir y Ld r, 1 1 <br /> I <br /> te Name uri <br /> Phone No <br /> ZEIu I 1'asc�, r,��a Ltivertriar e C � :9 <br /> address 4550 <br />�ereby certify that the above named material has been accepted and to e est of my knowledge the fore <br />!! the bg �g is true and accurate <br /> Authorized A ant Si nature <br /> Receipt Date <br /> e <br /> �%`� PASS CODE <br /> �• y <br /> 8FI260 720 <br /> UNLOADING AREA COPY <br />