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i <br /> �15938 <br /> Waetew } <br /> S stems TM RDOUS SPECIAL WASTE MANIFEST <br /> NON <br /> 3R01II7"NG-FERRIS INDUSTRIES <br /> -HAZA <br /> Generator Name DOANE <br /> PWD="S CY,xrirPvTy Generating Location <br /> Address 450 E• GRAr3'IZ.TNE <br /> FAD Address SF1~ <br /> TRAY CA -95376 Y,: SAME <br /> ` 3 <br /> :. �Phone No. 2 g " g '3 3 <br /> . i. <br /> Phone No. 2 f) 9 -' S 3 9 1; 3 : Type . <br /> Containers <br /> C (� O � 16 l ZEREHIRorum <br /> BFI Waste Code Quantity Units No. T C-Carton <br /> Description of Waste <br /> B Bag <br /> T •Truck <br /> P Pounds <br /> v_ <br /> Him = Y -Yards <br /> 0 O Other <br /> �� <br /> 44 CFR Part 260.10 or any applicable <br /> 40 CFR Part 261 or any applicable state law, has been properly described, <br /> I hereby certify that the above named material does not contain free liquid as define ,y <br /> state law, is not a hazardous waste as defined by applicable <br /> regulations. <br /> classified and packaged, and is in proper cond' 'on far nsportation according tQ app 9 <br /> BM FAGMM, pLAM MA shipment Date <br />' Signature <br /> G` 'tor Authorized Agent Name <br /> � ..Phone No. <br /> Truck No. . <br /> s, Driver Name.(Print) <br /> Transporter Name <br /> I Vehicle License No.IState <br /> Address <br /> Vehicle Certification <br /> above named material was picked up - I hereby certify tf�e dQstinathe �on listed belove named w.rias was delivered with- <br /> I,hereby certify that the out incident <br /> at the generator site listed above. <br /> �1.ryo-t. <br /> Shipment Date river Signa ure <br /> Driver Ig ture <br /> M= <br /> ' Phone No. <br /> i <br /> 4 Site Name <br /> Address <br /> material has been accepted and to the best of my knowledge the foregoing 'is true and accurate <br /> thereby certify that the.abgye.named mater <br /> . .. SI nature <br /> Receipt <br /> PASS CODE <br /> BF1260 <br /> UNLOADING AREA"COPY <br />