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E . neuer (,ranyor LJCoftln Butte Ox Mountain -J Newby Island Forward <br /> Sanitary Landf if Landfill Sanitary Landfill Landfill nr�t4fidl i antffilC <br /> �. <br /> F rF�A <br /> 12"19 <br /> r ' San <br /> x .. �,,6rPa drS, OP97-0, d3q CA <br /> el iF: <br /> 5 d <br /> t1� s .Fix 4 Fay i'141) 720-181 q <br /> NON-HAZARDOUS WASTE. MANIFEST <br /> GENERATOR <br /> _..� WASTEPT , � <br /> 265 <br /> 1 STATE, <br /> .W_. ..._ PERSONAL PROTECTIVE. E FOUI' RENT <br /> HONE _,._._..,..__ S d <br /> P SO <br /> Y Ver XSAF"ET� VES-1OT I <br /> _ t <br /> NG ; <br /> St A RE OF A1JTH0R ZF0 A GENT t!I°t E ? DATE <br /> t i <br /> ri&.r� :�.a <br /> AM IFi@ WA;Te 3 CYag3E(Y}f.fl$CL'.bef Sly Mf1P3� €L415 y C6 ktdOiid haY�[�6U�VYASC� <br /> i <br /> hu.,.. RECEIVING i�ACtLITY <br /> 40OFF€parcd�I �', � - --------- ......,__ __�-�. ... _.., .... .WAS - <br /> _ mm ... <br /> EsE13RIS J Of HER _ <br /> _ - <br /> `.]SPECIAL WASTE <br /> .___ _ <br /> TRANSPORTER NOTES VFHICLDCEN F N!ItIBER ._ TnUCK NUMBER <br /> ADDRESS <br /> ,.... g <br /> C'*Y b � Z� <br /> IT <br /> ........_................ .., ___......_._ ..._. - ..,.w .. <br /> PHONE END DUMP POTTOM DUMP T PAANSF D', l <br /> SkGNAATURE OF AUTHORIZED AGENT OR DRIVEF? Ai E ROLL OF fSl LAT RED) VAN DRUPAS <br /> R r <br /> OU91C BARDS <br /> I hereby certify that the above named material has been <br /> accepted and to the fest of my knowledge the foregoing � ._. �._.. _... <br /> is true and aCCUrate. <br /> ,F)1 i�, (t ) H <br /> § � CONI P�.ETLn ray ��.NC�Pl ! <br /> DISPOSE <br /> aE OTHER <br /> _� r NSTR�,E TI: °� 9 j <br /> ----------- <br /> nr <br /> TA'iL E'( TTLKET NU BFR <br /> I 'NATORFLOF AEUTH � <br /> _--T <br /> _ # R T ._ .. <br /> _ <br /> AS i <br /> _ 1 --__-. _--- <br /> SCNF_1)V6US-TS MAD O TO 3100 PX,T TO C IS 6° ARRIVAL•ANY USC LED LOADS,ARE SUBJECT <br /> TO A Ef AL UPO AR"RI , ONGOING DAILY DELIVERIES MUST 139 SCHEDULED WT "r*m 'LAI t) ILL T"C DAY Sf ORE, <br /> x f�. ,.4 ;7'F S1' <br />