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l <br /> Waste BFI Acct No- 1009042 No 9107992 � <br /> 2Systems TM- <br /> OWNINGFERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST-- <br /> 0 _ . Megnagm <br /> • <br /> mid Ca-1 Leasing 1649 L _ 1-harill- I Sr <br /> 3enerator Name Generating Location <br /> dress 0 Pox 5510 Address Stockton , c.�I <br /> Ca 95205 <br />[one No EF <br /> ` 0 — t 5 1 3 6 Phone No <br /> fl 9 1 2 ? 7 �' Containers Type <br /> I Waste Code � A FM3 D - Drum <br /> Description of Waste QuantityUnits No T pe <br /> l 0 D <br /> m C -Carton <br /> tsi �s�l Cpntarst�inat�d Sgrtl B - Bag <br /> T -Truck <br /> ❑ m ❑ P - Pounds <br /> Y -Yards <br /> ❑ (� ❑ O Other <br /> 1 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, s 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 Fon +tion for ransportat cor i g to applicable regulations <br /> �y J <br /> V t l Gi <br /> ICA ll R i l e 11 a i C •••fCy <br /> enerator Authorized Agent Name Signature Shipment Date <br /> --- <br /> TRANSPORTER <br /> 9113 6613- 9,5115 <br />'ruck No Phone No <br /> Transporter Name !' Lriv r nii��'flra t S i' m Driver Name (Print) k <br />�ddress ',1 0 0 Mai°`''i s t" a e t Vehicle License No(State ,�� ~!+�-=� j O <br /> T t e G a 93 3 0 u 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 /> at the generator site listed above out incident to the destination liste below <br /> ' � y < L z � 09 � � � <br /> Driver S49ur/- Shipment Date Driver Signatur Delivery Date <br /> DESTINATION <br /> a,Wc koad Cariitar'y Landt7l 1 5 t1 4 7 I, A 1 <br /> 1 j <br /> ite Name Phone Na <br /> (dress _ ; '.lu 1 V nsc o Road , t_'i %,'ernic,r�_, t a y4 550 <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> f Authorized A ant Signature ecelpl Date <br /> PASS CODE <br /> BF1260 720 <br /> 0106 <br /> UNLOADING AREA COPY <br />