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I ' <br /> d <br /> PFROWNING-IFERRIS <br /> Waste--W _- ---- - 8FI �cc�- F��:- ��nao�a -- --- --w--No-906 Systems TMNON-HAZARDOUS SPECIAL WA INDUSTRIES WASTE MANIFEST <br /> f <br /> ^4�d Cal toaS-fn a IF-.49 [- 1 1 rr <br /> generator Name Generating Location <br />� <br /> ddress <br /> P G Box 55103 Address Stock—ton, Ca <br /> hone No Phone No <br /> FI Waste Code <br /> F­ 0 t r - 5 Containers Type <br /> Description of Waste Quantity Units No Type D - Drum <br /> ❑ m FT] <br /> C Carton <br /> Cr B - Bag <br /> ❑ ^.� ❑ T -Truck <br /> L P Pounds <br /> Y - Yards <br /> ❑ r--� El - 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 transportation according to applicable regulations <br /> R,)nald K R7in chant k_ <br /> 1 <br /> aerator Authorized Agent Name Signature Shipment Date <br /> 9r' �¢ KP'� Daa d,iya`5`x <br /> a�1 � .S I <br /> luck No Phone No <br /> � n � � �crFrlGnrG 7 .=,�r� � ems Driver Name (Print) <br /> ransporter Name NIP <br /> 1dress <br /> Vehicle License No/State <br /> I <br /> Sake—_qf, eId Ca 83308 <br /> Vehicle Certification <br /> lereby certify that above named material was picked up, I hereby certify that the above named material was delivered with- <br />` t ge rate si Iste above out Incident to the de tination listed below <br /> Iver nature Shipment Date ortver sigrla ure Delivery Date <br /> I <br /> 0. <br /> I <br /> a 0 s <br /> lVameVasco Roacl San;t=art' Lir rl� t 1 i Phone No t 0 — 4 4 f 3 1 <br /> Adress <br /> 4001 'va-scc Poau , Liver re - Ca 94550 <br /> I <br />�reby certify that the.above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> EI:I]:=PI <br /> I <br /> Authorized Agent S: nature Receipt Date <br /> PASS CODE <br /> BFI26U 720 <br />