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viasze : : No. 9 15.9 4A . <br /> systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name ,8,"TE P;MIC Generating Location LM2E <br /> Address 450 E. GE==, MAT) Address ._ SAMP } <br /> i <br /> TlR,CY, CA <br /> Phone No. 2 E,0 1- Phoria Nn. , <br /> BFI Waste Code C QIg lclS] I i I al 1 1 ,7 1 cl Z 1 3 3 o Containers <br /> r <br /> Description of Waste QuantityD Drum Units No. Type D-Carton <br /> So'r! u•� t�r^3< 48 O f L!J B- Bag <br /> T -Truck <br /> ❑ m ❑ P Pounds <br /> Y-Yards <br /> . ❑. m � O-Other <br /> I hereby certify that the above named material does not contain free iiquid.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 condi ' for tr sportation according to applicable-regulations. j <br /> BOB F'�[NDES, PT ANT �R C� G�Gtp4 <br /> Generator Authorized Agent Name, Signature �''i: Shipment Date <br /> TRANSPORTER <br /> Truck No. -✓ Phone No. <br /> t <br /> Transporter Name �V �'a� �,CI/r����U Driver Name (Print) 2 ff -- <br /> Address f r 241 IF4Vehicle License No./State <br /> L Vehicle Certification _3a-2_7 <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at t7gatorite I' above. out unci to the a ination listed below. <br /> 101-2 <br /> 2 f O 2 <br /> =r Erignaidre Shipment Date Dr' er Signature Delivery Date <br /> DESTINATION <br /> Site Name Phone No. <br /> - I <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is trae and accurate. <br /> Nt,,. "%f Authorized Agent Signature- Receipt Date <br /> PASS CODE <br /> 10186 • SF1260-720 i <br /> UNLOADING.AREA,COPY F <br />