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Waste �1 <br /> '.� t004�r-: NO 906i3L° <br /> Systems Im <br /> ROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> i <br /> �"l s' a _ _ jC 1649 F <br /> enerator Name Generating Loc_1�on ` <br /> U, B055102 S cckton , Ca - <br /> ddress Address <br />[one No EEJ � - Phone No <br /> -1 Waste Code <br /> F7 <br /> n `t Containers Type <br /> Description of Waste Quantit Units No Type D - Drum <br /> C - Carton <br /> B - Bag <br /> T Truck <br /> ❑ W I I I P Pounds <br /> Y Yards <br /> �.._..._ �� E:1 O- Other <br /> 1 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 ffoJr■Vansportation acc ordingitto applicable regulations <br /> ,0 rl <br /> or Authorized Agent Name Signature Shipment Date <br /> lick NoPhone r No � 1 ,� P e_ 31 � <br /> nsporter Name - y Driver Name (Print) '- <br /> dress n fr1 r r II,= <br /> Vehicle License No/State _- <br /> 6,t C ;nom <br /> Vehicle Certification <br /> iereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> the enerator site listed Bove out incident to the destination listed below <br /> ro <br /> ver Signature Shipment Date —afXer , a ure Delivery Date <br /> DES,rINATION <br /> Name Vasco Road Sann rare Lamsf i 11 Phone No S —1 4 4 7 1 Q 1 I <br />]dress r�. ? v�-�s c c r D Z C.. _ \ �?; ' ..�r _ i� ..i 5 C <br /> � I <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 /> 4 <br /> e of Authorrzed A ent S nature Rece pt pate <br /> IPASS CODE <br /> 6Fi260 720 <br />