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Waste No 854345 Systems TM )WNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR L,,on Compan\ C S a :ti�an Stl�tion 7 3330 Zerator Name Generating Location cress P 0 Box 4415 Address 3128 tr Benjamin Holt Dr Houston Texas 77310-4415 Stockton California 0]_ 2 -1 6 8 i 0 0 `r )ne No Phone Phone No Waste Code 0 6 1 7 91_ 21 1 9 6 1 7 Containers Type Description of Waste Quantity Units No T'�pe D- Drum 0 0 0 1 1 1 8 ❑Y l l C- Carton 11 B - Bag NON HAZARDOUS T -Truck SOIL � 1 ❑ r ElP - Pounds L� Y Yards I ❑ m a O-Other hereby certify that the above named material does not contain free liqutd as defined by 40 CFR Part 260 10 or any applicable slate 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 to proper condition fortortation according to applicable regulations Jr erator Authorized Agent NaFne Shipmen Date TRANSPORTER ' i y -510-634-6850 Ick No Phone No p .7 Dillard Trucking Inc (Print) ins otter Name b r2%55 Driver Name Print f I / dress P 0 Box 218 Vehicle License No/State L/C/ C/t- Byron California 94514 ' Vehicle Certification ereby certify that the above named material was picked up I hereby certify that the above named material was delivered with the generator site listed above out Incident to the destination listed below I er Signature Shipment Date r S+gna re+ Delivery Date , DESTINATION e Name B F I Vasco Road Landfill Phone No F37 1 0 — 'I 4001 ?north Vasco Rd Livermore Ca 94550 ,r Idress ereby certify that the above named material has been accepted and to the best m kno ledge the foregoing is true and accurate � 1 ! h4W thorned A eni si nature Receipt ate OF PASS CODE t3& BF1260 720 ._ .. ♦ • '.+a!L 11\`.f ll! T