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Waste No 854320 <br /> Systems TM <br />)WNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> i <br /> r .\otY Curlpanx t S A Exon Station =7-2330 <br /> aerator Name Generating Location <br /> tress P 0 Bok 4415 Address 3128 11 Benjamin Holt Dr <br /> Houston Texas 77310-4415 S—tockton California <br /> ane No 2 1 G 8 7 0 0 Phone No 1� <br /> Waste Code C A 4 0 0 6 1 7 9 2 1 1 1 9 1 (T1 7 Containers Type <br /> Description of Waste Quantity Units No Type D - Drum <br /> 0 0 0 1 S C Carton <br /> S Bag <br /> NON HAZARDOLS T -Truck <br /> SOIL F-1 ❑ P Pounds <br /> Y - Yards <br /> F1 - F-10 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 fo Lsortat�Fpnaccording to applicable regulations <br /> erator Authorized Agen Name Signature Shipment Pate <br /> 510-634--6850 <br /> ck No Phone No <br /> Dillard Trucking Inc <br /> nsporter Name .._._ Joh #2. 55 Driver Name (Print) <br /> tress P 0 Boa 218 Vehicle License No /State + <br /> Bvion California 94514 1? \ <br /> Vehicle Certification 'J oo K'ri <br />)reby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> he generator site listed above out incident to the destination listed below <br /> er S11 <br /> nature Shipment Date Driver Signature Delivery ate <br /> DESTINATION <br /> D E I Casco Road Landfill <br /> Name Phone No <br /> 4001 \orth Masco Rd Livermore Ca 94550 <br /> dress <br />=reby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> homed A en€ Ss nature eceiPt Dat <br /> I ' <br /> f ' PASS CODE <br /> 36 <br /> BF1260 720 <br /> t- t Dt <br />