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P <br /> P a ' <br /> Waste -t BFI }scot . No. 1009042 No 907986 <br /> Systems TM <br /> FNON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> V. GENERATOR l�9 t d Cal Leasing 1649 <br /> F ianne t <br /> Generator Name Generating Location <br /> F' U Da^ 55103 Stockton , Cal <br /> 11dress Address <br /> �t t�c.kCvn , Ca 95205 <br /> tone No _. Phone No �— <br /> I Waste Code � Containers Type <br /> Description of Waste Quantit Units No Type D- Drum <br /> 1) 1t=�eI Cori tafi)iI)ated Su-i1 1 C - Carton <br /> B - Bag <br /> T - Truck <br /> ❑ m ❑ P - Pounds <br /> Y - Yards <br /> ❑ r�� ❑ O Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 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 proper(Con Ition ransportaU n actor 1�g to applicable regulations <br /> 1,.):is1d h R-ir)e[)aI,t - <br /> nerator Authorized Agent Name Signature Shipment pate <br /> 916 666-9316 <br /> luck No Phone No <br /> Nt P Ej)vIronrrler'itaI Sei,v i cs� _ <br /> Transporter Name Driver Name (Prtn / i e1� <br /> =401) Mang Street <br /> dress Vehicle License No 1St to <br /> t3aker,�f`felci , Ca 93108 <br /> Vehicle Certification <br /> tereby certify the abovee med ma real was picked up I hereby ter fy hat the a e named aterial was delivered with- <br /> at the ger e lid�,ebo4e out Inc the de a n listed clow <br /> Enver Signature Shipment Date Dnver ignature Delivery Date <br /> DESTINATION <br /> ! <br /> co K(.,;ad Sc3ni l a -V l anti i Ili �—� <br /> i�ir N:trtiis' Phnno No I I I <br />[dress — <br /> iereby <br /> certify that the above named material has been accepted and to the best of my kggAl"e the foregoi tt'ueand accurate <br /> 111 <br /> AOL <br /> 2X <br /> Authorized Agent Signature / Q. - Dat <br /> , <br /> �- PASS CODE <br /> 186 BF1260 720 <br /> UNLOADING AREA COPY <br /> ri <br />