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0114aste SFI Acct - 100 N0025 <br /> �1�= 2 s s,pow _FERRIS INDUSTRIES Systems Tµ NON-HAZARDOUS OUS SPECIAL WASTE MANIFEST <br /> Mid ( z I L-�F�r4 I IFA9 F C'ha.- "e i �r <br /> enerator Name ;enerating Location <br />'ddress P PoV, Address Stockton , Ca <br />'hone No Y - Phone No — <br /> Fl Waste Code 1 10 <br /> 1 If, ' I d Containers Type <br />' Description of Waste Quantity Units No T pe 0 - Drum <br /> ❑ m C - Carton <br /> 8 - Bag <br />' T Truck <br /> ❑ m ❑ P Pounds <br /> Y - Yards <br /> ❑ m ❑ O- Other <br /> hereby certify that the above named material does not contain <br /> free liqEl I I <br /> uid as defined by 40 CPR 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 to proper condition for lransportatlon according to applicable regulations <br /> s <br /> —rat or Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br />�uck No `s 1 Phone No 6 h - S--9 ' I <br /> rans orter Name h1 P P,,v-i -r,,)r, n S�r� <br /> P Driver Name (Print Z� 5���< <br />[dress <br /> 34 i_0 Manor ar ria y Vehicle License No /State <br /> B e l o^-`I =l d CE 4 3 3 n; Vehicle Certification <br /> lereby c Ott that the above named material was picked u I hereb c 1 that the a eVe named <br /> p p y fy f material was delivered with <br /> the g ator site tde above out incl t to the de (nation listed below <br /> Iver Sognature Shipment Date Driver Signature 4 Delivery Date <br /> , <br /> _ 1 <br /> DESTINATION <br /> e Name Vasco Road San- tar,,, Landfill Phone No — A 7 0 j <br /> 1 <br /> dress 40" Iva-:;cc <br /> I <br /> Ireby certify that the above named material has been accepted and to the best of my knowledge the foregoing Is true and accurate <br /> l <br /> I Aathorized A enl S, nature Race+pt Data <br /> IPASS CODE <br /> 6 B171260 720 <br /> ,.3 E. RCTAIN <br />