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,- -.Waste______ -SFA Ac7r_ _ No -10090d2­ -- -No-9 0 79 8 3 <br /> __---- <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL L WASTE MANIFEST <br /> GENERATOR. <br /> l k, <br /> k- <br /> *i7ci Cal Leasing 1649 E . Channel St <br /> Generator Name Generating Location <br />( <br /> Address <br /> - O. Boit 55103 Address Stockton Ca _ <br /> `.atacktan Ca - 9CS205 <br />'Phone No =—I 41 1 5 1 "1 9 1--] Phone No <br /> 1 10 0 8 2 4 9 5 Containers Type <br /> 31`1 Waste Code I O - Drumm Description of Waste Quandt Units No T pe <br /> D'FE-,1 Canrn7 nate Sci l C -Carton <br /> L I If B - Bag <br /> I ❑ ❑ T -Truck <br /> P - Pounds <br /> Y - Yards <br /> ElI ❑ �� ❑ O-Other <br /> hereby certify that the above named material does not contain free Ilquld as defined by 40 CFR Part 260 10 or any applicable <br /> state law, Is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and Is in proper condition or ransportatt n-,accord ng to applicable regulations �+ <br /> 9rJ 'i ]d Iia rt <br /> 6 d <br /> J <br /> eneratar Authorized Agent Name Signature �y Shipment Date <br /> ruck No Phone No <br /> M P Envi rorlrrlenta i env Com <br /> transporter Name Driver Name (Print) <br /> 9400 Marlor 1q4:5-"Z <br /> '} <br /> Iddress - Vehicle License No /State �J <br /> Vehicle Certification — G/ 7 1- _ <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> it the generator site listed above out incident to the destination listed below <br /> Enver Si natu � <br /> g Shipment Date Driver Signature Delivery Date <br /> Y + • <br /> Vasco , Road San-tar'/ t_.anHf�l ] ,, { <br /> o Name 7 <br /> tdress r Phone No 1_.�1�1� <br /> � t'lj1 a -CO Rc-acj L -i — more- C4.1t750 <br /> - <br />�ereby certify that-the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> IAulhonzed A g e n t Si nature E Receipt Date <br /> PASS CODE <br /> 186 BF1260 720 <br /> GENERATOR RETAIL <br />