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03/19:97 10:57 PRODUCTION OpERATORS 3 915107320143 <br /> i . <br /> [ <br /> NO.0-92 P006 <br /> MANL EY & SofVs' <br /> Trucking&Eatntxr�en�entaf <br /> °"`F,7Q1P $886 Elder Creek Road No. -I�Hoe <br /> a �, <br /> • ••• Sacramento, CA 95824 NON-HAZARDOUS! AZARDQUS SPECIAL WASTE MANIFEST <br /> Generftr Name <br /> Address <br /> Generating Location <br /> Address <br /> Phone No. �— <br /> Phone No. — <br /> wW'° Atence Code <br /> err 'on of waste ContainersFYards <br /> a� quarttit Units No. T pe0. #C ONTAMINATED SOIL � nsi hereby certify thatthe above named material does not containfree liquid as defined b i`statelaw, is not a hazardous waste defined – <br /> classified and packaged. by A0 CFR Part 26, or an Y 40 CFR Part 280.10 or any apAiicsble <br /> 9 . and is in proper condition for transportation a Y applicable state t&w, has been proper�Y described. <br /> I ' r44 according to applicable regulatlons- <br /> Agent Name <br />. Signsume <br /> - shipment Data li <br /> Truck No. / P <br /> Phone No. " <br /> Transporter Name <br />�. Driver Name(Print <br /> Vehicle Licgrrw Na-!.State <br /> vehicle cenif"6on <br /> I hereby certify that the above named material was picked u <br /> at the generator site listed p I herebY certify that the abo v named material was delivered wit <br /> h- <br /> Y Out incident to the destination ii <br /> Oeli,rery owe <br /> Site Name <br /> 20 RF:CYCLIAiG LANE – RTC�ti~KKJNI], CA 94$QI Phone No. <br /> Addresg <br /> I hereby certify that the above named material has been accepted and to a best of my knowledge the foregoing is true and accurate. <br /> CL- eZ i L j <br /> k atan+e�AetlscKQed <br /> PAN CODE I: <br /> White-DESTINATION Y911OWUNLOADtNe Pink-TRANSPORTER GOO-GENERATOR <br /> N <br />