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,= r Waste- - - __--_ -AFI -At c t - No -10,19042 - _ _ -- -No-507973 Systems -F7M _ 1= RpWNINGERRIS INDUSTRIES NOR! HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR, generator Name Mid Cal teasing Generating Location 1649 E Channel St . 'ddress P 0 - Boy. 55103 Address Stockton , ca - 95 2 a -952 05 ! _ 'hone No q __ 4 6 6 0 9 1 j Phone No 4 Q 5 9 1 8 ° 7 d S Containers Type FI Waste Code D - Drum Description of Waste Quantity Units No T pe m C -Carton Diesel Contaminated Sol l L I I i � i 1 J B - Bag ' E I J ❑ T -Truck El P - Pounds Y - Yards ❑ � ❑ O-Other 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 accordipg to applicable regulations \\, nerator Authorized Agent Name Signature Shipment Date areaYY n .. "^Y`3 v/ �rsy <. ,tt "d o -�w a � r i MMI luck No i t 1�' �O` Phone No 668-9316 ransporter Name M P Env-i rorsm-e-r'taI Sei v_fces Driver Name (Print) a121 C� [dress 34100 tyles, Or' Err'e"` Vehicle License No(State - i,� C� inn Vehicle Certification lereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- t the generator site listed above out incident to the destination listed below ' r Z river Signa re Shipment Date Driver signature Delivery Date MAMi � • e Name Rc,t=c4 tat, Lan df i I 'I Phone No dress ; �;= Fro cf I rrr,ore Ca. ° 1 E �_:C 'ereby certify that the above named material has been accepted and to the best of my knowledge the foregoing Is true and accurate Aulhor:zed A ent Signature Receipt Date PASS CODE BF1260 720 GENERATOR RETAIN