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PROWNINGG. <br /> aSte � 9D7995Z ct . H_ iR03GaSYStG't1"1S 7MNON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> generator Name Mid Cal Leasing Generating Location 1 649 E. Channel St - <br /> Iddress P C Box 55103 Address Stockton , Ca . <br /> Stockton , C.a . 95205 _ <br />[hon'e-No 4 6 6 0 9 Phone No <br />'AFI Waste Code 4 0 a 1 $ 9 4 8 Containers Type <br /> Description of Waste QuantityUnits No T pe D . Drum <br /> C - Carlon <br /> Diesel Contaminated Soil Ll I I D m B - Bag <br />' Elm T - Truck <br /> FF� ❑ P - Pounds <br /> Y - Yards <br /> ❑ m ❑ O-Other <br /> r <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 conditton fort�ansportatioq,according to applicable regulations <br /> i <br /> Ocnald K fi-iriahar,t Ir—I S _ <br /> aerator Authorized Agent Name Signature Shipment Date <br /> luck No J e Phone No 916 668-9316 <br />- ansporter Name M P Environmental Services Driver Name (Print) <br /> ddress -4100 '4anor Street <br /> - Vehicle License No!State Z <br /> Vehicle Certification <br /> hereby certify that the a� e named material was picked up I hereby certify that the above named material was delivered with- <br /> the generator site liet'd above out Inclde (to'the desttn tr n listed below <br /> river Signature Shipment Date Driver Signature Delivery Date <br /> t <br /> DESTINATION <br />�te Name V_L - Co R ad Sar)- t.a -, L I id#-1 1 1 Phone No Li-51 ' <br /> ddress IGU I Vasco Road L-iver,moi e Ca 9.1550 <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 /> me of Authorized A eat Si nature Receipt Date <br /> PASS CODE <br /> 186 BF1250 720 <br /> GENERATOR RETAIN <br />