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03/19/97 10 52 PRODUCTION OPERATORS 4 915107320143 NO 091 P004 <br /> MANLEY & SONS' Not] p o <br /> p� Trwking&Emptt'on Rental <br /> rxisr 6896 Elder Creek Road <br /> • . •:• Sacramento CA 95824 NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> Generator Name 1?MOUC'TION O1Eli T S INC. Generating Location— MMONALD IN" - Q2ffff.M <br /> Address PO B@L 40262 Address <br /> >rIDUS4tON TX 77244 _HOLT, CA. 95234 <br /> Phone No E113-19 Phone No <br /> � <br /> WMW*"ptarm Code Containers Type' <br /> No E}escn tion of Waste Quant Units� � {}-Drum <br /> n <br /> C-Carton <br /> B Sag <br /> OC>KI'AbIIXATED SOIL ^ T-Truck <br /> QU P-Pounds I <br /> Y -Yards <br /> m ❑ O-Qther <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFFt Part L2BQ�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 properly described <br /> classified and packaged, and is to proper condition for transportation according to applicable regulations <br /> 0 h jj 'ej _tz,�, () Q I /1 /1D4 /7i;T <br /> vz Agent Name Sign re Shgxmnt Date <br /> �l� <br /> TRANSPORTER•! i <br /> Truck No _ _� �"'� Phone No 916-3$1-6864 <br /> Trans orter Name it1Afi1FM SM T ING/ INC•, Driver Name Print <br /> l3 (Print) <br /> Address 8896 ELIDER CREEK ROAD Vetucle License No/State <br /> SACRAMENTO, CA 95828 Vehicle Certification <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered wtth- <br /> at the generator site listed above out incident to the destination listed below <br /> Onwer aa+ra Wonertt Date Dnrer Signator+ Qerwe"wale <br /> DESTJNATION <br /> Site Name TPS TBMM[.oGIES INC. Phone No =—L-21— <br /> RDCYCLING LANE - RICHMOND, CA 94801 <br /> Address <br /> I Hereby artily that the aimed material has bran socepted an he of nowledge the foregoing is true and accurate <br /> .eml <br /> Cf— <br /> Nan»4r AUihartzed ate <br /> l� <br /> PASS CODE <br /> Whrtb­DESTtNATfON Yelloti 4jNLOADING Pink-TRANSPORTER Gold ENERATOR <br />