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LA I TM NF1.46�t _ No , OgQ04 ^ No 9 06046�� S�Ste BROWNING-FERRIS IES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR1 Mid Cal Leasing 1649 S Channel 5t - Generator Name Generating Location IAddress P U - E30Y 5510 "Address StOCI{ton , Ca . r k t 0 r Phone No Phone No ��- BFI Waste Code 11 1 0 g 1 g Z 5 g 5 Containers Type I Description of Waste Quantity Units No Type D - Drum D4esel Contaminated Sol `EC- Carton 1 S m T B - Bag I ❑ m ❑ T -Truck P - Pounds Y - Yards ❑ m ❑ O-Other I, 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, Iclassified and packaged, and is in proper condition for transportation cording to applicable regulations rrr7wlr� -inehat-t � 1 t r Generator Authorized Agent Name Signature Shipment Date k'Ei�`- �C•C, � ruck No Z/-Z— 3v I r Phone No 916 563–g = 5 Transporter Name M n Environmental Serv-ices Driver Name (Print) �;�//��.�"...a� Address ? t;o 1 a no i r a c r Vehicle License No/State ci Vehicle Certification hereby certify that the above named material was picked up l hereby certify that the above named material was delivered with- at the generator site listed above out incident to the destination I Sted below v I aver Signature Shipment Date Driver PS(gnature DeLvery Date camI - I Site Name WCo RC,3d S,ar), ray •, i cr-IJf-I 7 I ' Phone No ' D � Iddress 400 ascCr F0ct t_� ve4-mores' Ca _ 94 550 (hereby certify that the above named material has been accepted and to the best of my knowledge the *oregoing is true and accurate f Aulhonzed A ent Sr nature €ieceipt Date PASS CODE 1186 BF1260 720 GENERATOR RETAIN