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I Acw . '�a- 10090k2 NOX00024 <br /> im <br /> S y t e m s TM <br /> 3ROWHING-F=ERR15 IN 11LISTRIES ES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> O <br /> ,l,U C31 Leas-inq _ 1649 > Cr amr;e1 sc <br /> generator Name Generating Location <br />'address P - 0 c''` 5 5 10 ZAddress S t oc kt ori , Ca <br /> - - 93201: <br /> thone No Phone No <br /> n 4 3 ti 7 3 Containers Type <br /> 3FI Waste Code D - Drum <br /> Description of Waste Quantity Units No Type <br /> ❑ F-1C Carton <br /> Dr � �rn- C '_-' �n� ' r 8 Bag <br />' T -Truck <br /> ❑ ❑ P - Pounds <br /> Y Yards <br /> E F] El <br /> E] O Other <br />' I hereby certify that the above named material does not contain free liquid as defined b 40 CFR Part 260 10 or an a licable <br /> q Y Y Pp <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or apy applicable state law, has been properly described, <br />' classified and packaged, and is in proper cpbidition #or�transpo5aton acc�6r ing to applicable regulations <br /> ri^i"1I< fe � I <br /> �1 � lt'?}}�r� Z_ -- <br /> enerator Authonzed Agen,Name Signature Shipment Date <br /> 'r <br /> G� � <br /> ruck No % fid ! ��/ Phone No <br />-ransporter Name M P Er, , ronn,enta1 Sarv-t :�s Driver Name (Print) <br /> =400 t4ar�;�l 'rr ��t �,�� / 5 /J <br /> Iddress _ Vehicle License No /State X� � 1 �� <br /> Bakersfield Ca 93 Oce <br /> Vehicle Certification <br /> ereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> al the generator site listed above �y cy out incident to the destination listed below <br /> { <br />)river Sig ure Shipment Date Dnver Slgnatur Delivery Date <br /> m yt, <br /> 0 �,¢� '�4µ 3F�yv �• r <br /> I <br /> to NameVa�co Riad Sarni t ary tat c3 ri ] - Phone No d 11. 0 — 4 <br /> V ��co _ <br /> address -f - ? 1 '' 1.�-a'- � LI ��Y'rl}�.lf C , C'�i _ 94550 I <br /> I <br /> ereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> i <br /> I <br /> jWf Authorized Ageni SI nature Recelpl pate <br /> PASS CODE <br /> "6 8FI260,2, <br /> GENERAT01:1 RETAIN <br />