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sti <br /> yOWNltq sem6LC <br /> 7_4 <br /> y `"�tfIL•.,ue i,•F <br /> N N.'H 1,10 ^ ,i. $7 a <br /> e 0(� � ♦r <br /> NIF <br /> M _ WASTE <br /> Generator � � r <br /> ator Nance ARCO PRODU <br /> Cs�S r. <br /> Address P.o. Bax f � r <br /> S S i 2 Generating Location <br /> r <br /> San Mal: <br /> Mateo, GA 9�i4O2 Address <br /> Phone No 4 2 _ <br /> _, 1.� 7 I 2 Stockt <br /> BPI waste Cade � 3 � <br /> 4 Q Phone No' .� <br /> � C � a <br /> Deson tion of%f 9 9 3 6 <br /> O 2 Q 2 <br /> `BION HAZARDOXISSA - Quantt Containers <br /> IL �� - TYF <br /> Units <br /> - No T e D-Dru <br /> ! C-Car <br /> Sag <br /> -Trt+c <br /> I hereby Cert _ - Z_' P-Pour <br /> ify that the above nam Y-Yard <br /> state law, is not a hazardous yy waste <br /> material s nat contain free ltq d <br /> Classified and packaged as defined b EIEJ C-Cthe <br /> Sed+ and is to pro Y 40 CFR Part 261 defined by 40 CFR Part 2 ~� <br /> r -p oortdrtton for trans oF`any ApPhcable State l$yy+ has 60 10 or any applicable <br /> paitatron aocaord <br /> fn9 t� Plicabin proper <br /> Authorti�,qnr iVam . k '� `� �t� F -r a regulations Y described, <br /> 11 7 <br /> • • Strner�t nate +.► <br /> � <br /> Transporter Name aid Tc$i P#ione ) 634-6850- - <br /> 5 - <br /> r <br /> Address t'.C. Name(Print) <br /> 1 ' ?Jay ' 'y ~ <br /> Byron 94514 r - {`Vehicle License No.,State^ <br /> f fierebyrCe - <br /> at The -rate�trat <br /> the above named matenaf _ Vehicle Certification 6 <br /> -� generate site fisted above. was d up r�_ ,`nC j <br /> r,s hereby ;ertity that the above named mater L <br /> out Inpident o al was <br /> Wlver s�9nature / �D <br /> � L _ <br /> iiia destination tasted below. delivered wit <br /> Shipment ata , <br /> gnature + ' <br /> f l - Dal bate <br /> Site Name B-r.j. Vasco Rd. <br /> I.sndt111 >s.a.lf a2-1pO55 <br /> Address 4001 North vast rtaoPhone No ElEj— <br /> lerlity <br /> oFtoaH, Live re+ CAherebytthat the above 94530 named material Etas been acC@pt@d and to the best of m - <br /> ame of Auriyq��A r Y know! ' <br /> fOregoing is true and accurat, <br /> S nature <br /> r <br /> PASS CODE <br />