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il <br /> r <br /> �, _aste==- �_$F >_�Ar��_�,.� z�o��a���----_ No �s.o_s_o_4.1= � =� <br />' Systems TM <br /> 1�91ROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE ,MANIFEST <br /> GENERATOR <br /> 3 <br /> I M1,d- Cal _Leasing - ' -: _ - 1649 E . Channel , St - <br />{3enerator Name ` Generating Location W ' <br />('address P . 0- Box 5 5 1 0 3 Address Stockton , Ca <br /> 1 3tocI<t0in Ca 952051 -61 0 19 <br /> — <br /> 'hone No Phone No <br /> Containers Type <br /> • A " 4 0 5 1 8 9 7 4 9 C <br /> 3Fl Waste Code � <br /> Description of Waste Quanta D- Drum Units No T e <br /> ADm Contaminated Canta �natea Soil 1 Ul' B - Bag <br /> ' T -Truck � <br /> 1 ❑ E] <br /> P - Pounds <br /> 1 Y - Yards <br /> U <br /> ERO- Other <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 /> Iclassified and packaged, and is in proper candition forlfr'dnsportatio -according to applicable regulations <br /> 1�ornald h: Rinehart <br /> 'enerator Authorized Agent Name Signature Shipment Date <br /> • <br />, <br /> lcJ � r , 916 6613--93iE+ruck No Phone No <br /> j l <br /> M P Environmental Services <br /> i ransporter Name Driver Name (Print) <br /> ddr+rss_ 34,00 _Manor' Street:__, � _ <br /> Vehicle License No/State-�b ��y'C� <br /> Vehicle Certification <br /> hereby certify that the abo e1named material was picked up I hereby certi�fy that,the above named material was delivered with <br />'t the g�rator site 11stf bave , out Inciden to the des�i+rfatson listed below <br />'river Signature Shipment bate Driver Signature Delivery Date <br /> F DESTINATION <br /> to Name Vas,-- Road Sani tary LaPhonerof� i n , No - <br /> 1 , , t ,a - <br /> .1001 Iasco+ Road . 1_iverrnere ',Ca, 94550address <br /> r <br />�ereby certify that the abo via named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> f Authorized Agent Signature Receipt Date <br /> PASS CODE <br /> 186 BF1260 720 <br /> GENERATOR RETAIN <br />