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1 a <br /> Waste, - �. BFI Acct . leo. 1009042 No 907985 <br /> systems TM OWNNON-HAZARDOUS SPACIAL WASTE MANIFEST <br /> GENERATOR <br /> GSI Ler���rr�c3 ib43 E Chynnai SG <br /> Generator Name f Generating Location <br /> 1•' 0 Box 55103 Stockton . Ca <br /> 1dress Address f <br /> tit t)Lkunt) , Ca 95205 <br /> lone No = _ Phone No �— <br />�I Waste Code Containers Type <br /> Description of Waste Quantity Units No Type D- Drum <br /> f, teel CC�r�tCEilltr3Wt �d Soi1 3 B - Balton <br /> T -Truck <br /> ❑ ❑ P - Pounds <br /> Y - Yards <br /> ❑ � � O-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CPR Part 260 10 or any applicable <br /> I <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 proper c ditio�r or transpo tion ac o�ding to applicable regulations <br /> !\CSI �J 1 d h R-inotiart <br /> or Authorized Agent Name Signature Shipment Date <br /> luck No � _ � C> _..._ Phone No 916 ss8 -93 i6 <br /> M P Environmental Ste, <br /> nsporter Name Driver Name (Print) 14C 7` <br /> 3,4uG Mtanoi, Street <br /> dress Vehicle License No/State 2 S 2 7 . l <br /> H.�lkerZ�f -Ik'Id Ga 93308 <br /> Vehicle Certification <br /> lereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> it the generator site listed above out incident to the destination listed below <br /> Inver Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br />� <br /> e Name <br /> v'usco kc,ad San-1tai,y L,�nd 1,, 1 Phone No �-�— <br /> 5 i 1 1 4 <br /> address <br /> 4001 Vasco koad , L-i vermai e 1 94 `s50 <br /> ereby certify that the above named material has been accepted and to the best of my_kaowledgeo er going is true and accurate <br /> Authorized A ent SI nature Receipt Date <br /> PASS CODE <br /> 186 BP1260 720 <br /> UNLOADING AREA COPY <br />