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Waste No. <br /> 916049 <br /> 1 <br /> Msyste, ms TM NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> IROWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> generator Name <br /> E0A`M R.[_OLU 1.' aX,1PAINY Generating Location <br /> Iddress <br /> 450 E. GRANTIME ROAD Address SAME <br /> SAME <br /> CY . .... <br /> TRA 'CA 9537 °. <br /> 3+ .�honq Na, <br /> Containers Type <br /> 3FI Waste Code A S r r G Z 3 3 D - Drum <br /> Description of Waste tDuantit Units No. T pe C-Carton <br /> 1 � L B - Bag l <br /> 581 w� �tnSa <br /> T -Truck <br /> ❑ m ❑ P -Pounds <br /> m Y -Yards <br /> 0 <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 property described, <br /> classifiedand packaged, and is in proper con � ion for ansportation according to applicable regulations. <br /> UA)LO ! 0 z 7 1 Z <br /> )Ml F �' I� Shipment Date. <br /> Generator Authorized Agent Name Signature <br /> TRANSPORTER <br /> Truck No. - Phone No. <br /> Transporter Name Driver Name (Print) <br /> Address Vehicle License No./State <br /> Vehicle Certification <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 th- generator site listed above. out incident to the Pestination listed below. <br /> live to <br /> Driver Signature <br /> hipment ale Driver Sign re <br /> DESTINATION <br /> Phone No. <br /> Site Name <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> flectD <br /> NDP ,Authorized A ent <br /> Sia nature <br /> PASS CODE <br /> BF1260.720 I <br /> `10166 • <br /> UNLOADING AREA COPY ' <br />