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Waste No. 916050 � <br /> Systems TM O <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE. MANIFEST <br /> " <br /> GENERATOR <br /> Generator Name Generating Location ; <br /> Address <br /> 450 E. GRAN.i'.TME ROAD Address SAME <br /> TRACY, CA 95376 SAME. - <br /> s 5 5 1 3 ', No. <br /> Phofle NO.. .Phone. <br /> �ry. �.• b 5� I QZ 3 el 3 Containers Type <br /> BFI Waste Code 3 } <br /> Quandt Units NoMB <br /> D-Drum <br /> Description of Waste C-Carton <br /> � z�, -Bag ! <br /> T -Truck <br /> ❑ m ❑ P -Pounds <br /> Y -Yards <br /> [71m ElO-Other _ <br /> I <br /> i <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 nota hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has-been properly described, <br /> classified and packaged, and is inproper conditionfor nsportation according to applicable regulations. <br /> BCB F,AGUNEES, PLANT MANAGER <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> Truck No. Phone No. <br /> Transporter Name `' ' Driver Name {Print) <br /> f <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 the generator site listed above. out incident to the destination listed below. <br /> )-Z <br /> Driver Sl nature Shipment Uil Vb"erSigt re Delivery Dale <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 knowledge the foregoing is true and accurate. <br />' Authorized A enl Si nature Receir <br /> Date <br /> PASS CDDE <br /> SF1260-720 <br /> 10!86 <br /> ii UNLOADING- AREA COPY - <br />