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1 ' <br /> =r <br /> =90798 '_ _ <br /> Systems TM <br /> 3ROWNING-FERRIINDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> a � � <br /> 1 _ Mid Cal Leasing - 1649 B. Channel Sr- <br /> generator <br /> [generator Name Generating Location <br /> P O. Box 55103 Stockton , Ca v" <br /> ddress Address <br /> F <br /> Stockton , Ca . 95205 <br /> hone No Phone No <br /> Containers Type <br /> AFI Waste Code D - Drum <br /> Description of Waste Quantity Units No Type <br /> C Carton <br /> Diesel Contaminated Sc» ) Is] T <br /> B - Bag <br /> T -Truck <br /> ❑ I I ❑ P - Pounds <br /> l l Y Yards ' <br /> r - a ❑ O Other <br /> IF r a W <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 condition fq"ransportati accor Ing to applicable regulations <br /> �r� <br /> neraior Authorized Agent Name Signature Shipment Date <br /> a <br /> S; 5 563-9336 <br />'}uckANo _ Phone No � <br /> M P Envi roninental Ser vi zee <br />-ransporter Name Driver Name (Print)_'4 00 Maoor <br /> dress - _- Vehicle License No /State 2zfl�/ x <br /> i <br /> Vehicle Certification <br /> ereby 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 below <br /> Iver Signaa Shipment Date Driver Signal Delivery Date " <br /> DESTINATION <br /> '✓�scc Road Sanitat',/ L = =-il ' _ - <br /> e Name - " Phone No <br /> ddress 4 0n 1 V-sco Road, F , c—, _ _ - C,ZZ w �A 55n <br /> lereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> Ask <br /> r , <br /> � r <br /> Authorized A ent Signature Receipt Dale <br /> t <br /> PASS CODE <br /> 6 8171260 720 <br /> GENERATOR RETAIN <br />