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Waste No 854331 Systems TM WNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR ' E%%ov Company L S A E»on Ct3t. o f =7-33'�O erator Name Generating Location ress P 0 Boa. 4415 Address 3128 is Benjamin Holt Dr Houston Texas 77310-4413 Stockton California � S 1 00 — 2 Y ] 6]8 7 0 0 ne No l�L� Phone No Waste Code C A 0 6 1 7 9 2 1 9 6 1 7 Containers Type p - Drum Description of Waste Quantity Units No Type 0 0 0 1 $ a CCarton B - Bag NON HAZARDOUS T -Truck SOIL ❑ m ❑ P - Pounds Y - Yards m El Other I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable state law, is not a hazardous 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 according to applicable regulations e 4 l {r - c Lt :ralor Aufhoraed Agent PJame Signature { Shipmen Da,_O TRANSPORTER 510-63-1-680 ck No Phone No Dillard Trucking Inc nsporter Name Anh t2Z/55Driver Name (Print) cress P O Boa 218 Vehicle License No /State Byron California 94514 r� Vehicle Certification :reby certify that the above named material was picked up 1 hereby certify that the above named material was delivered with- he generator site listed above out incident to the destination listed below �_ _2 s er Signature Shipment Date Driver Signature Delivery Date DESTINATION eName B F I Vasco Road Landfill Phone No ' 4 4001 'forth fiasco Rd Livermore - Ca 94550 dress r ereby certify that the above named material has been accepted and to the best of my knowledge the t r ping is true and accurate �% ihpnzed A ent Sinature y ece�pt Date PASS CODE 36 BF1260 720 f r .