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Waste No 854333 <br /> Systems TM <br /> WNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> r.N%or ComDant U S A E%%or St<tior =7-3330 <br /> erator Name Generating Location <br /> ress P 0 Box 4415 Address 3128 tti Benjamin Holt Dr <br /> Houston Texas 77310-4415 Storkton California <br /> 5 1 0 — 2 4 ti 8 r 0 G <br /> ne No Phone No <br /> Waste Code I _ J. 4 4 0 1 6 1 1 7 92 1 9 B 1 7 Containers Type <br /> Description of Waste Quantity Units No Tvne D - Drum <br /> 0 0 0 1 8 Eo T C -Carton <br /> t—_1�s1-��JJ B - Bag <br /> NO HAZARDOUS T -Truck <br /> SOIL ❑ m E] P - Pounds <br /> Y - Yards <br /> F-1m El -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 conditlordtng to applicable regulations <br />� t,QLI ( [_Yc_ kV/ 4 XCE1 t f c V (11 2 <br /> rator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> i 1 510-634-6850 <br />�k No / Phone No <br /> Dillard Trucking Inc <br /> isporter Name _ Jnh S9/55 Driver Name (Print) ASC i1C e <br /> ress P 0 Bok 218 , Vehicle License No /State Y � f g LA t?�tf <br /> Byron California 94514 QO <br /> Vehicle Certification <br /> reby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> ie generator site listed above out incident to the destination listed below <br /> a <br /> F Signatu a Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> Name B ); I Vasco Road Landfill Phone No 1 51 1 0 — 4 4 7 4 9 1 <br /> 4001 ?north Vasco Rd Livermore Ca 94550 <br />/ress <br /> reby certify that the above named material has been accepted and to the best of m nowledg the foregoi true and accurate <br /> IY <br /> orized A eni Signature ReceiptDa e <br /> PF <br /> PASS CODE <br /> i <br /> BF12611 720 <br /> / 11' <br />