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i I I - Waste---=- -=sPT_-r_,-r—t 410_ --100"042 - � `- -No=go6043 -- -- Systems TM BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST Mid Cal Leasing 1649 E Channel St - Generator Name Generating Location O BoK 55103 Stockton , Ca . Address Address �rc{�rnt Ca x5205 ' 4 6 3 6, 0� - - - hone No 1�L_J II II �I Phone No FJ C A 4 t) S 9 1 8 I I I ? 4 '3 Containers BFI Waste Code � _ Type Description of Waste Quantit Units No T pe D- Drum 8 El Diesel Contarninated Soil C Carton 8 Bag F] P - ❑ T -Truck jl�� P - Pounds Y - Yards ❑ O- Other I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper Condition for transportatiop ccording to applicable regulations ':or-,ald K P-inehar-t enerator Authorized Agent Name Signature Shipment Date Yf.+t •_ r'e r'+ a ° q+� % `�3a �•A ''Tc�°Y 19' ' s v'l' Q 'Wit' 31f'1s� ` a T ,� c .6u. ' 'r ^fir 1 bra�``v' Y _3nI Fl7 truck No 9V `1 Phone No 1"67 668 9316 M P Environmental Services Driver � � �`/ � A _ Transporter Name braver Name Print _ ;400 Mao-_' :qtr-eet Iddress Vehicle License No /State - Vehicle Certification thereby certify that the above named material was picked up I hereby certify that theabovenamed material was delivered with- at the genprat' r sitojisted above out igcident to-the des atior) fisted below ]river Sig tore Shipment pate Driver Sr nature Delivery Date m o � o /a~ - P-_ad S'r'i tary Landfill I'Ite Name - Phone Na ddress rir31 +J s o Rc�;d , 1...ivermore Ca 9.3550 �ereby certify that the above named material Pias been accepted and to the best of rry knowledge the foregoing is true and accurate dft of Authorized Agent - Signature Receipt=0.t. PASS CODE 11 96 BFI260 720 GENERATOR RETAIN