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- � F a + �Na�947993 — Systems TM r BROWNING-FERRIS INDUSTRIES', NON-HAZARDOUS SPECIAL WASTE MANIFEST generator Name ' F_-Mid� C_al Leasing - 1 649 E . Cha��nel St . _. Generating Location ddress P. G- 80x, 551103 Address I Stockton , Ca i Stockton, , Ca - 95205 4.- ''hone No 6 6 t) 8 _ Phone No - a JF1 Waste Code C A 1 4 0 5 a 1 1 13 1 3 7 +4 Containers Type Description of Waste Duantity Units No T pe D - Drum C - Carton Diesel Contaminated Soy ! 8 m T B - Bag ' T -Truck F ❑ m ❑ P - Pounds Y - Yards _ `" '� - � ❑ m ❑ 0-0 ther n I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, classified and Packaged, and 1s in proper condition for transportati n accotding to applicable regulations Ronald K _ Rinehart CLA� _ PH - �t enerator Authorized Agent Name Signature Shipment Date ! ruck No Phone No '310 6159-93 � � 16 r Fransorter Name M P Environmental Services �� G U' t f �C P Driver Name (Print) / y Iddress 3400_ Manor- Str`et1 _ z _ _ Vehicle License No/State +� Bd�E; sf field C� `�;zC1n Vehicle Certification hereby certify that th above named material was picked up I hereby certify that the above named material was delivered with- t the generator s t f'ed above out nc%nt to the d t1 ation listed below' t Iver S nature Shipment Date - Driver Signature Delivery Date DESTINATION Vasco Road Sarir-ar,Y Landfill �ite Name - Phone No address 4001 Va�scdi Roe Liverrnore Ca 9�-��+'i �ereby certify that the above nameii material has been accepted and to the best of my knowledge the foregoing is true and accurate + f Authonzed�e.t Si nature Receipt Date r ' n PASS CODE 166 r BF1260 720 GENLRATOR RETAIN