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i1 <br /> Waste No 854340 <br /> SystemsYM <br />]WNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> E­tion Conipan,� C S A Exon Station =7-3330 <br /> aerator Name Generating Location <br /> cress P 0 Box 4415 Address 3128 H Ben f amen Holt Dr <br /> Houston Teras 77310-4415 Stockton California <br /> [=—0 _ 2 4 fi 8 7 0 0 <br />)ne No Phone No <br /> Waste Code 0 G I 7 9 2 1 9j_._6.1 1 7 Containers ype <br /> Description of Waste Ouantit Units No Type D rt <br /> 0 0 1 8 E E C Garton <br /> 0 <br /> B Bag <br /> NO\ HAZARDOUS T -Truck <br /> SOIL ❑ m ❑ P - Pounds <br /> Y - Yards <br /> F-1m [1O Other <br /> I hereby certify that the above named material does not contain fre_e liquid as defined by 40 CFR Part 26010 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 /> j f 1, ' <br /> fC WI,!I L LYC f L2x!L ' C i Q (D 2 n 2 <br /> erator Authorized Agent NVtame Signature Shipment Daie <br /> .- ..TRANSPORTER <br /> 510-634-6850 <br /> ick No Phone No <br /> Dillard Trucking Inc <br /> msporter Name Joh _2 55 Driver Name (Print) <br /> o D Boy 218 <br /> dress Vehicle License No /State _ �'.dW' CP <br /> Byron California 94514 c <br /> Vehicle Certification <br /> ereby certify that the above named material was picked up I hereby certif that the above named material was delivered with <br /> the geyierator site listed�abvve out incidentXthe destination listed below <br /> -eu,'XIMIAb <br /> e Signature <br /> Shipment Date LjriverSIg7tdluru De very Cate <br /> DESTINATION <br /> e Name B F I Vasco Roaa Landfill Phone No 5 1 0 — 4 __41. 7 4 9 i <br /> 4001 North Vasco Rd Lixermore Ca 94550 <br /> dress <br /> ereby certify that the above named material has been accepted and to the best of my k-howledge the foregoing is true and accurate <br /> i <br /> thonzed A eat Signature atip <br /> Dat <br /> PF <br /> PASS CODE <br /> 36 <br /> BR260 720 <br />