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Waste No <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name Generating Location <br /> Address r 0 BoN 441 Address 0128 " Fetl'an`lIi 1i. lt 1), <br /> ,aSLo^ TT73i0--4135 tot Kt-Ct3 --,j? _foTr1-1 <br /> G f'. i G C <br /> Phone No 1 0 �� Phone No <br /> BFI Waste Code '` ; 0 ' ) k ' L k 1 0 6 ' Containers Type <br /> Description of Waste Quantity Units No Type D- Drum <br /> G v rj 1 G ❑ C-B - BBag <br /> rtor <br /> ag <br /> S01 HAZ4RDOL5 F-1m F-1 Y - <br /> -Truck <br /> SOIL <br /> P - Pound <br /> Y -Yards <br /> F-1m 1:1O- Other <br /> I hereby certify that the above named material does not contain free 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 /> Generator Authorized Agent Name Signatur Shipment Hate <br /> TRANSPORTER, <br /> 510-634-685U <br /> Truck No f Phone No <br /> Dallas Trucking Inc 2 55 - <br /> Transporter Name Driver Name (Print)I Z <br /> Address P 0 Box 218 Vehicle License No/State -1 1< <br /> Bvron California 94514 S-5s r G <br /> Vehicle Certification <br /> 1 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 listed above out incident to the destination listed below <br /> �z EE= <br /> I Dnv Signalure Shipment Date Drner Signature Delivery Date <br /> DESTINATION <br /> Site Name B F I Vasco Road Landfill Phone No 1 0 — } r O 1 4 1 <br /> 9 <br /> 4001 Nor"h \ ascu Efts' LiveirLore Ca 94531 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best gay owldge the foregoing is true and accuratE <br /> 01 Authorized Agent S+ nature , ecei ate <br /> PASS CODE <br /> 101136 BFI26 <br />