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' Waste No 7000251 <br /> rI <br /> Systems TM <br /> BROWNING-FERAIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENER <br /> • <br /> Generator Name Generating Location 7 <br /> 1.> � 'I k 'J • � <br /> Address P 0 BoN 44!—, Address 3_2t 'A P-n idn 1,i Hol , OI <br /> *T. it_,L)ri TE re_� tAh s_GLi7I3 <br /> I=—� � u , r c T <br /> Phone No Phone No <br /> BFI Waste Code 0 ' I F-VT-I= I - ) Containers Type <br /> Descrt tion of Waste Quantity Units No Type D - Drum <br /> C -Carlo <br /> } .f El El <br /> B - Bag <br /> 'C% HAZARDOUS T -Truck <br /> SOIL <br /> ❑ m ❑ P -Pounc <br /> Y -Yards <br /> ❑ ❑ O-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260W10 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 /> f <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> Truck No Phone No 510-634-6850 <br /> Transporter Name Dillard Trucking Irtc 2 55 Driver Name (Print) <br /> Address O box 213 Vehicle License No/State <br /> Bron California 94511 <br /> Vehicle Certification ..tib <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered witl <br /> at the generator site liisted above _outincident to the dstination listed below <br /> ,r l <br /> I <br /> i cam--.,�.J �_����- L� `' � � 7 ✓ � J � t/ 2 �-' <br /> Driver Signature Shipment Date Drive ignature Delivery Date <br /> DESTINATION <br /> Site Name S f i Vasco Road Landfill Phone No —14 4 _171= <br /> 4001 North Masco Rc LaLermore Ca 91550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best-of mynk owled , going is true and accurate <br /> r, <br /> N Authorized A ent Signature e t Dat <br /> PASS CODE <br /> 10/86 / BF1260 <br />