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L k I Waste- - _ -T - _ SFT_Acct -No __1009042- - _ _- - -;--No -907986"- -_ Systems TM NON-HAZARDOUS SPECIAL WASTE MANIFEST :.GENERATOR M-d Cal Leas inir7 1649 E . CInanne tet _ Generator Name Generating Location r - Fox 55102 Stockton �ddress or Address �GocIx*on Ca _ 952L35 'hone No F-1 Phone No Fi Waste Code c Containers Type Description of Waste Quantity Units No 7 pe D- Drum Diesel Contaminated Soilt B ElC- Carton B - Bag T -Truck P - Pounds Y - Yards El ❑ 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 Jaw, 1s 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-4(ansportation according to applicable regulations =r,s alri K Rir.eh.ar r_ � enerator Authorized Agent Name Signature Shipment Date 9 16 x613-9 ? 16 ruck No d Phone No M P Env-1 ronin=nt-�l Services _ Transporter Name Driver Name (Print) 3100 Manor atreet Iddress Vehicle License No/Stat ;,,EL,-sfiel (-s _ g?'308 Vehicle Certification lereby 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 -, Inver Signature Shipment Date Driver Signature Delivery Date O Vasr o Road Sanitary- Landfill to Name Phone No �— .1 on va-co Road t_iverreloi-e C1� 4 710 dress �ereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate Ll I&$Authorized A ent Signature Receipt Date PASS CODE I86 BF1260 720 GENERATOR RETAIN