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r Waste No 854327 <br /> Systems TM <br /> OWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> E\\011 Company l; S a E\\on StaL?oii =7-3330 <br /> neralor Name Generating Location <br /> dress P 0 Boa 4415 Address 3128 h Benjamin Holt Dr <br /> Houston Texas 77310-4415 Stockton California <br /> one No 1 0 — 2 4 G 8 7 0 0 �— <br /> Phone No <br /> I Waste Code _-� 0 6 1 r 9 2 1 9 6=7 Containers Type <br /> Description of Waste Quantity Units No Type D Drum <br /> i. C - Carton <br /> 0 0 0 1 8 ❑7 6 - Bag <br /> AOX HAZARDOUS �� T - Truck <br /> SOIL ❑ ❑ P - Pounds <br /> Y - Yards <br /> ❑ m F-10- Other <br /> 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 for transportation according to applicable regulations <br /> i <br />----�� f <br /> tXCf-IJ iL '1� ; L 2 - - <br /> ierator Authorized Agent Name Signature `— Shipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> ick No Phone No <br /> Dillard Trucking Inc -� <br /> insporter Name Job "2 /5.=� Driver Name (Print) <br /> dress P 0 Boa 218 Vehicle License No /State 71 lgv_�z <br /> Byron California 94514 ��,� <br /> Vehicle Certification <br /> ereby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> the generator site listed above out incident t he destination listed below <br /> D 71 �16 a 7 <br /> ler Signature Shipment Date C6ver Signature Delivery Date <br /> DESTINATION <br /> e Name B F I Vasco Road Landfill Phone No 0 1 0 —L-41-41 x 0 4 9 , 1 <br /> 4001 North Vasco Rd Livermore Ca 94550 <br /> ldress <br /> ereby certify that the above named material has been accepted and to the best of my knowledge the-foregoing is true and accurate <br /> D a <br /> thonzed Agent Signature Receipt Date <br /> 0 <br /> PASS CODE. <br /> 86 <br /> BFI260 720 <br /> r <br />