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vvasie Na. <br /> 915946 <br /> Systems TM <br /> .BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> i <br /> t � <br /> Generator Name II)AML; I F0QLXMr5 L`Y"��-,1_(- Generating Location , ,,•3'�' <br /> Address 450 E. r_;FtE'7hMME ROAD Address ± <br /> TRACY CA 95376 <br /> Phone No. Phone:No. 4- -u-u-s � - . <br /> BFI Waste Code d S 0 L q 2 3 Containers Type <br /> Description of Waste Ouantit Units No. Type D-Drum <br /> [ C-Carton <br /> TlC7 n—F 8 - Bag <br /> T -Truck <br /> It ❑ m ❑ P - Pounds <br /> Y-Yards <br /> ❑ m El0-Other <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 condi n for nsportation according to applicable regulations. <br /> Generator Authorized Agent Name Signature If <br /> Shipment Date <br /> TRANSP. ORTER <br /> Truck No. Phone No. <br /> Transporter Name Driver Name (Print) ¢—,���yr2t.�,�yQ <br /> Address Vehicle License No./State <br /> Vehicle Certification <br /> I hereby certify that the above na ed material was picked-up I hereby certify that the above named material was delivered with <br /> at the generato site listed above. out incident to a destination listed below. <br /> Ig I <br /> ) DAG l 4 <br /> Delivery Date <br /> er Signature Shipment Date Driver Signature <br /> riv <br /> DESTINATION <br /> nn <br /> TT I <br /> Site Name Phone No. �J___1� <br /> Address <br /> I hereby certify that the above reamed material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> <pf Authorized Agent <br /> Signature. <br /> eceiot Dale <br /> PASS CODE <br /> ' BFI260-720 <br /> 10!86 • <br />` UNLOADING AREA COPY ; <br />