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w i r <br /> 10-Waste=T '1039042- w ---- - - _ - --No-9-- -- -v-8F1 Acct`- �_ 0 6 0 3 2- <br /> SYstems TM Ni NON-HAZARDOUS SPECIAL WASTE M <br /> FROWNING-FERRIS INDUSTRIES MANIFEST <br /> � Y <br /> 1-.Gas-1 <br /> 3enerator Name _ Generating Location 5,49 E <br /> Iddress <br /> F 0 Bc- 65103 Address Stockton , Cox <br /> 952(i <br /> _ � r <br />[hone No Phone No <br /> g 1 FT-7, <br /> ? 5 Containers Type <br /> 0 <br /> FI Waste Code �. 3O - drum <br /> Description of Waste Quantity Units No Type <br /> C - Carton <br /> ,i l r-,F t 9 r' F, t m FI B - Bag <br />' ❑ T - Truck <br /> P Pounds <br /> Y Yards <br />' ❑ 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 for transportatiorrccording to applicable regulations <br /> \\ ar <br /> enerator Authorized Agent Name Signature Shipment Data <br /> c <br /> ( �`r <br /> uck No V Phone No <br /> 0 1 b 568- a= 16� _-L � 'Cl <br /> ansporter Name Driver Name (PrintL __-)o VII/N _-, .,tl <br /> dress :ti7Q pis cr �ti�� C <br /> Vehicle License No/State <br /> Es u k&r f i e ; Ca 9 3 3 0 8Vehicle Certification <br /> lereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- I <br /> t the generator site listed-5bove ? out incident to the destination listed below II <br /> n �y <br /> C.� -i <br /> rJv�Srgr� Lure hipmen Date' � er Signature Delivery Data - I <br /> y gn MM � MEN <br /> Ut <br /> e Name�asco Road La--t t=ary Land': 'I I Phone-No <br /> ddress S 00 1 CV i Cain L." ver mor a , C1:2 _ g4S15a 1 <br /> i <br /> lereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> f AuthorizedA <br /> Agent Signature Receipt Date <br /> EI:[:= <br /> PASS CODE <br /> 16 BF1260 720 <br /> GENERATOR R.FTnIN <br />