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Waste No 854339 Systems TM )WNENG FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST • tY\o= Compal " L S A )ration Station =7-`,130 ierator Name Generating Location iress P 0 Boy, 4415 Address 3128 k Benjamin Holt Dr Houston Te%as 77310-4415 Stockton California ane No [=—I 0 — 2 1 4 1 G 1 8 C T] Phone No Waste Code 0 1 6 1 r 9 2 1 1 9 6 1 7 Containers- Type Description of Waste Quantity Units No Aype 0 - Drum C -Carton u B Bag 1\01% HAZARDOLS T -Truck SOIL ❑ m ❑ P - Pounds Y Yards ❑ m ❑ O-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 nota 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 tran ortation according to applicable regulations r rj�IiL1 .4c L k,, g- x/L4_l l� 101 JZ Q._ erator Authorized Agent Nam6 Shfpmen Date • Q 510-f 34-6850 ck No r Phone No Dillard Trucking Inc nsporter Name 7nh Driver Name (Print) cress P 0 Boa 218 Vehicle License No /State C o 92 Baron California 94514 3aa g01� Vehicle Certification �reby certify that the above named material was picked up I hereby certify that the above named material was delivered with he generator site listed above out incident to the destination listed below er Signature Shipment Date D(rr Signatur Delivery Date DESTINATION • Name B F I fiasco Phone No 1 0Road Landfill 5 — 4 -3 7 0 4 9 1 I 4001 \orth Vasco Rd Li.ermore Ca 94550 Dress �reby certify that the above named material has been accepted and to the best of mjnkn ledge the foregoing Is true and accurate afflilrorized A eni Signature Receir ate PF PASS CODE t6 BR260 72o