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^Waste - - - - -- ----r- No Syste r� s TM _ _ _ ' BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST i Mzd Cal Leas-ina 1649 F_ Channel St= 1 Generator Name Generating Location Address G Bo,� 55103 Address Stockton Ca ' ' t ry tri Ca _ 9520 S Phone No � 6 5 3 91 F Phone No BF! Waste Code I 1 0 9 8 9 2 1 3 4 9 1 5 1 1 Containers Type ; Description of Waste Quantay Units No T pe D - Drum" C - Carton Diesel Gontami Hared Sail 1 8 1❑ I+ I B - Bag T - Truck ' ❑ �_� ❑ P - Pounds Y - Yards ❑ � ❑ O Other ' I hereby certify that the above named material does not contain fret: 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 to proper condition for transportattoccording to applicable regulations r,rtald 1~ :� r ?hart r_V1 Generator Authorized Agent Name Signature ) Shipment Date �a Vansporter uck No Phone No 9 1 6 588-93 t 5 M P Env-ircnmr--ntal Services Name Driver Name (Print) �S t✓ l � �U� ress .0 0 ma n o r `t r e e Vehicle License No/State %x"/17 �7Z„ Vehicle Certification y ' hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the generator site listed above out Incident to the destination listed below � - o 19 river Sigrtalu Shipment Date f Driver Signatur Delivery Date is 0 Site Name c P071d S_�n c,-=, La Phone No tddress ` on V ,errnorc Ca _ 94.550 hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate of Authorized A ont Sr nature Receigt nate PASS CODE 0186 BFI260 720 GENERATOR RETAIN