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03/19/97 10 52 PRODUCTION OPERATORS i 915107320143 NO 091 P002 <br /> w�7N <br /> .0 �MAKLEY & SONS' No e t ? <br /> TrUC(Ung&Egwpn=t Rental <br /> WIM 8896 Elder Creek Road <br /> f • . Sacramento CA 95824 NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> 1GENERATOR NEW I <br /> Generator Name FS03=10H OM Generating Location — <br /> Address Address n _aM' SMICK <br /> DMISTM4 TY, 77140 HM-pr, CA 95234— <br /> PhonB No 1 71 <br /> Phone No <br /> Containers Type <br /> WanWAcceptanoa Cad• Description of Waste Quantitv Units No Type 0-Drum <br /> C-Carton <br /> s Bag <br /> Truck <br /> CCWAM INMED SOIL P l J n <br /> otmtls <br /> Y _Pounds <br /> m 0 Other <br /> I hereby certify that the above named material does not contain tree liquid as defined by 40 CFR Part 260 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 in proper condition for transportation according to applicable regulations <br /> no�IA-41 P.P 4-iLa— <br /> peneraigr Aut ed iJamB re SN�pir+ant flats <br /> . w <br /> .t <br /> Truck No tk hone No - <br /> Transporter Name Driver Name(Print) <br /> AddressRQAD-. Vehicle lacense No!State <br /> Vehicle Certification � '� 40 <br /> I hereby certify that the above named matenal was picked up I hereby certify that the above named rnatenaf was delivered with- <br /> at the fieri rator site Ir afove out incident to the destination listed below <br /> t f ?v <br /> onvar Sn•mern Dal* t Deiivory Dale <br /> DESTINATION <br /> 1Phone No �� <br /> " Site Name "K TECIMIDPITES IW- <br /> 21 -71_71 <br /> 20 REcYCLIM LANE — RILE MMM, CA 94NI <br /> Addr®ss <br /> I hereby certify that the above atena!has been a ted and to the best of my knowledge the foregoing is true and accurate <br /> B� L <br /> t► `� 1211 K6W YD_ R Date <br /> tiarrlB <br /> of AUiilOnY9C AaeM <br /> PASS CODE <br /> Whit-DESTINATION Yeiiovii6UNLOADING Pink TRANSPORTER Colo-GENERATOR <br />