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roi�th star Date: 0 0205 016 <br /> Non-Hazardous Waste Client# ]0205821 <br /> TFSre!!lf�P7"i!1f!!� Manifest Document# 89074 <br /> WASTE ORIGIN <br /> Section I. <br /> Origin Location: THERMO FLUIDS-JB HUNT <br /> Addre s: 2660 LOOMIS RD Phone: <br /> City: STOCKTON State: CA Zip: 95205 <br /> Section H. Description No.Containers Type of Container Qty. Units <br /> Grit Trap Waste 1 T 831 Gallons <br /> Section II. De icription No.Containers Type of Container Qty. Units <br /> Section H. Description No.Containers Type of Container Qty. Units <br /> Section III. Specs l Handling Instructions <br /> Section IV. Genes ator Certification <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10(soils)or any applicable state <br /> law,is not a ha2 ardous waste as defined by 40 CFR Part 261 or any applicable state law,has been properly described,classified and <br /> packaged,and is in proper condition for transportation according to applicable regulations. <br /> Deshawn phillip3 <br /> Customer Name Customer Signature <br /> OWNER / TRANSPORTER <br /> Section V. <br /> Name if Co.: Northstar Environmental Group,Inc Phone: (800)449-7504 <br /> Addre s: 417 N.Blythe Street-Gallatin,TN 37066 <br /> Driver KEVIN JENKINS <br /> Recei of Material(Driver's Signature): <br /> DEsTINATION <br /> Section VI. DispoE at Site: Profile# <br /> Address <br /> City, State,Zip <br /> Signal ore Printed Name Date <br /> Section VIISpecia Notes <br />