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PROWNING-FERRIS Waste-_ - -----OFT _ A�ct No 1009042 — No 9 9_7_9-9 7Systems TM INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST Im 1649 ECnanoe t enerator Name Mid Cal Leasing _ . , Generating Location P. O. Box 55103 Stockton , Ca - dress Address Stool -on . Cat _ 95205 i B 53-tone NoOTEY Phone No I El C S =_11 Containers Type ff 3F1 Waste Code D - Drum Description of Waste QuantityUnits No Type Soil t t — m C -Carton Diesel Contain-treated B - Bag ❑ m ❑ T - Truck P - Pounds Y - Yards 117-1 ❑ m ❑ O-Other I hereby certify that the above named material does not contain free liquid as defined b 40 CFR Part 260 10 or an applicable Y Y pA 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 is to proper condition for/trensportatio Icor ing to applicable regulations Ronald F, Rzrr_hart —gyp _ ,mss nerator Authorized Agent Name Sognature Shipment Date RTER �/,i 916 668-936 �ck No Phone No M P Environmental Services ransporter Name Driver Name (Print) � ` dress ?4 t1 t7 ;Manor Street 1� �� -- Vehicle License No/State Vehicle Certification lereby certify that th above named material was picked up I hereby certify that the above named material was delivered wlth- t e'gen Worsite �edbove out-r de t t , the des natio listed below 3ver Sig tune Shipment Date Driver Sigh Lure Delivery Date DESTINATION tsco Road San-i to ry Landfill l l ' Name �lPhor o No �— dress 4001 Vasco Road , Livermore , Ca 94550 �reby certify that the above narhl d material has been accepted and to.the best of my knowledge the foregoing is true and accurate uthonzed A ent Signature Receipt Date PASS CODE BFI160 720 GENERATOR RETAIN