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W6ke No. <br /> 916031 <br /> Systems TM 9� <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIALIWASTE MANIFEST <br /> GENERATOR <br /> Generator Name Generating Location <br /> I <br /> 450 E. GRANT= RDAD SAME i <br /> Address Address <br /> TRACY, .CA 95376 SAME <br /> Phone No. 0 9 —.8 3 5" 9 ' 1 3 3Phone No. 8 3 9.. 1 3 3 <br /> BFI Waste Code C !_ E_L _�_J [ 0 T Z R 3 3 D Containers Type <br /> q <br /> .'bescri tion of Waste Quantity Units No. Type D-Drum � <br /> ' t ❑ G Carton <br /> Sal`l wI ni - i•' S-'Bag <br /> T Truck <br /> El <br /> m.ElP -Pounds <br /> a Y-Yards <br /> ✓•.... .. .. � m � 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 iaw, has been properly described, <br /> classified and packaged, and is in proper con ' ' nfvr tr sportation according to applicable regulations. <br /> J/ <br /> L� l�hJG 1 a Z17111 z <br /> GAulhorized Agent•Name,-:r c ;;:'�`.:: Y:;;^:.. •Si <br /> eneratorgnature r, Shipment Dale <br /> ■ • <br /> r <br /> Truck Noi2-, G Phone Na. <br /> GJ i e�rCZ S <br /> Transporter Name driver Name (Print) <br /> Address VehicleLjccen etNp,Rtate <br /> Vehicle C rtifia do h! � <br /> 1 hereby certify that-the above named material.was picked.up. _ I hereby.certify�hat"the above named material was delivered witl <br /> at the generator site listed above. out incident to he destination listed below. " <br /> O. <br /> Prkiir Signature Shipment:Mate Dri r Signature Delivery Date <br /> DESTINATION <br /> Site Name Phone No. �— <br /> Address <br /> I hereby certify that the above named material has been accepted and.to the best of my knowledge the foregoing,js true and accurate. <br /> Ina al Aulharized A ent Si nature,.- r Receipt Da a <br /> PASS CODE <br /> rase eFlseo-a<< <br /> UNLOADING ,:.:COPY ` ' <br />