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Waste— ----BF1- -----No -90 06048--- Systems rM - ' BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST M—id Cal Leas;na 1649 E Channel St _ Address Generator Name Generating Location ' C Banc 55103 Address Stockton , Ca wrccton . Ca 95205 2 0 9 6 5 3 6 a Phone No Phone No �— BFI Waste Code Ird—IF]i Ll 511 0 1 9 1 q 39151 1 Containers Type Description of Waste Quantit Units No T pe D- Drum Diesel Contaminated Soil C - Carton 1 ? 1 T B - Bag ❑ T - Truck F-1 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\transportation according to applicable regulations nr, 1a K F17r k;art- Generator Authorized Agent Name Signature Shipment Date MW W Gisr""". 1'i -� x s a.zrar�+✓iv" �.,,3` <y �- O .ter. Yr. - W��„ d�`a,4w 4�r�a ;r � �a,.a r.a �;� , t• �, y truck No Phone No 9 1 6 668-931c_ Transporter Name Trans ht P Environmental Serv-i oee P Driver Name (Print) a 2 . (Address `'-0 f'1�r-or atr�eet Vehicle License No/State Vehicle Certification 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 r Driv ri i at re Shipment Date Driv r Signature De every Date 11511101 it0 Va �-o Roar) Sanitary Larnefill Site Name _ 5 1 r 5 g Phone No f iddress 1 I `fid HSG Roc-' , L i ��, „Ori , c 9451✓ 5 hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate f Authonzed A ent Si nature w Receipt Dale PASS CODE �l86 BF1260 720 GEI`i-RATOR RETAIN