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AAr NQRTHSTAR Non-Hazardous Waste Date: 12/30/19 <br /> i� ENVIRONMENTAL GROUP,INC. Client#t: 10207984 <br /> Manifest Document th 101240 <br /> WASTE ORIGIN <br /> Section I. <br /> Origin Location: FedEx Ground-5655 Hood Way,Tracy CA Phone: 209-830-5256 <br /> Address: 5655 Hood Way <br /> City: Tracy State: CA Zip: 95377 <br /> Section 11. <br /> Description Number of containers Type of Container Qty Units <br /> Grit Trap Waste I T 1166 Gallons <br /> Description Number of containers Type of Container Qty Units <br /> Description Number of containers Type of Container Qty Units <br /> Section 1II.Special Handling Instructions <br /> Section IV. Generator 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 law,is not a hazardous <br /> waste as defined by 40 CFR Part 261 or any applicable state law,has been properly described,classified and packaged,and is in proper condition for transportation <br /> according to applicable regulations. <br /> Customer Name: lose Jimenez. Signature: <br /> Section V. <br /> Name of Co.: Northstar Environmental Group,Inc. Phone: (800)449-7504 <br /> Address: 417 N.Blythe Street-Gallatin,TN 37066 _ <br /> Driver: Kevin Jenkins <br /> Receipt of Material(Driver's Signature): Date: 12/30/19 <br /> DESTINATION <br /> Section VI. <br /> Disposal Site: Triple M Laud Farms Profile th Oily Water <br /> Address: 665 Schweizer Rd. City: Franklin <br /> State: KY Zip: 42134 <br /> Signature: slate: 02/22/20 <br /> Section Vii.Special Notes <br />