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Waste GFi Acct No 10090,52 _ No 907990 <br /> Systems TM <br /> L WASTE MANIFEST <br /> ROWNING-FERRIS INDUSTRIES NON_HAZARDOUS SPECIAL <br /> Mid Cal Leas� hg 1649 E _ Channel St <br /> enerator Name Generating Location <br /> P 0 . Box 55103 Stockton , Ca <br />�ddress Address <br /> L0Ckton , Ca 95X5 <br /> s hone No Phone No <br /> A 4 0 1 5FTT 1 8 3 _ 4 <br /> j F 19 r I <br /> Containers Type <br /> BFI Waste Code - D - Drum- <br /> Description of Waste t�uantit 1 Units _No Type � <br /> (u� C -Carton <br /> Di -i <br /> Diesel Ccrtamnated Q-cil B - Bag <br /> T -Truck <br /> ❑ m ❑ P - Pounds <br /> Y -Yards <br /> ❑ L ] 1 ❑ O-Other <br /> hereby certify that the above named material does not contain free liquid 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 fS_rt�ansportatlon accor ing to applicable regulations <br /> r' <br /> Generator Authorized Agent Name Signature Shipment Date <br /> . I <br /> ruck No �� Phone No <br /> N1 P Fnvircnrr�ental Services _R <br /> Transporter Name Driver Name (Print) <br /> 3400 flanor, err eet <br /> ddress Vehicle License No/State . r u 1 Le <br /> Vehicle Certification <br /> thereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator site listed above out Incident to the destination listed below <br /> l <br /> \\ \ <br /> 1\ \ n_Q4 _ �t ` Cti_i ,��Q+rJI 1 l a •� �t <br /> aver Signature Shipment Date Driver Signature Delivery Date <br /> b � <br /> vahco Road Sannrar�y L-rdfil1 <br /> Site Janne Phone Na <br /> 1COI Vas-::c Poae Liver-,-r, Ca 9455Q <br /> dd uss <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 /> Flof Authorized Agent Signature Receipt Date <br /> PASS CODE <br /> 1186 SFI260 720 <br /> GENERATOR RETAIN <br />