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03/19/97 10:57 PRODUCTION OPERATORS 3 915107320143 NO.092 P002 <br /> MANL.EY & SONS* „10- -I <br /> vdT�� Trucking Ar Equipment Reml � <br /> 8896 Elder Greek Road <br /> • • Sacramento, CA 95824 NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> t Generator Name '[its 1 Generating location _ KMMMd?-ISTAND _ fy1Ml�+rt „am <br /> i Address --PQ ZZ 40262 Address__ M <br /> F <br /> F <br /> Phone No. <br /> — <br /> Phone No. � 61 <br /> WeeatelAo,,P -,,m(`.ode Containers Type <br /> i+ Desai ion of waste Quant/ Unirs No, Type 0•Drum <br /> m C-Carton <br /> B g <br /> CWrAMINATED 94IL •Tuck <br /> ❑ I P-Paurtds <br /> _ u Y-Yards <br /> 0-pTriBr 3 <br /> 3 <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CPR Part 260.10 or any applicable <br /> state law, is not a hazardous waste as defined by 40 CFA Part 261 or any applicable state law, has been properly described, r <br /> classified and packaged,and is in proper condition for transportation according to applicable regulations_ t <br /> C�gz <br /> p�� Aut ed me Signature j shomeat Oats" <br /> TRANSPOR TER- <br /> ,tom Truck No. s� / „ _ Phone No. 916-399 R <br /> Transporter Name.,NMEY 5{li -TMXXING, ITEC_ Driver Name(Print) <br /> Address.. SIM B CREM RQAn Vehicle License NodState <br /> tr <br /> Vehicle Certification <br /> rI hereby certify that the above named material was picked up 1 hereby certify that the above named material was delivered with- <br /> at the generator site listed above. out incident to the destinati listed below. <br /> F. <br /> 6h4— Date Driver L,J1J <br /> Jivaey nate <br /> DESTINATION <br /> Site Name 3M TM Phone No. <br /> 20 RRCYMING I.Aw – Ricum ND, CA 94801 <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 /> iv rim R11 <br /> of Orizgd t C <br /> A Oats <br /> PASS CODE <br /> White-DESTINATION YelkttiwUNLOADING Pink-TRANSPORTER Gold-GENERATOR <br />