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i <br /> Waste .— <br /> "°- � � <br /> 01systems TM 915929 <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name ` � P.I�C}Lu�t'ifi 0C-.'r1X.T' �1tF <br /> Generating Location <br /> Address 450 E. GRANTLINC RSD <br /> Address SAVE <br /> TRACY, .CA 95376 SAME <br /> Phone No. 7 -1Phone'No. <br /> BFI Waste Code C 5 d J Ct Containers Type: <br /> [ i ( <br /> Description of Waste Quantit Units No. Type �- arum <br /> EC-Carton <br /> B - Bag,: <br /> ❑ m T "Truck <br /> ❑ P -Pounds_ <br /> Y -Yards - <br /> m Ela-athgr, <br /> ❑ <br /> I 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 27Zportation according to applicable regulations. <br /> BOB F=R= PIANT MANAMP za <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTEK,,­ ., <br /> Truck No. Phone No. -.fir 7 <br /> i} <br /> Transporter Name U Driver Name (Print) <br /> Address (v ehicle License No./State <br /> e . Vehicle Certification <br /> 1 hereby certify that the Jove named material was picked up I hereby certify that the above named material was delivered with- <br /> at the enerator site listed ab out incident to the destination listed below, <br /> i e ( Shipment Date Driver SQWture Delivery Date <br /> DESTINATION- <br /> Site <br /> •Site Name Phone No. ❑1_L�J� <br /> TTIz <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoitlg is true and accurate. <br /> NamAuthorized Agent Signature ReCeipl ate <br /> PASS CODE 1-1119 <br /> 10/813 =8F1260-720 <br /> F <br /> UNLOADING AREA COPY <br />