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Waste No 854342 Systems TM IWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE'l"MANIFEST FITI-MITIM PF t .\011 Cotr,panv L S a 1:\-,on Si ai _c z =7-3330 ierator Name Generating Location cress P 0 Boy. 4415 Address - 3128 V% Benjamin Holt Dr Noustor Texas 77310-4415 Stockton Califoinza ane No [E=-12 4 G fi 7 G 0 Phone No — Waste Code FH:A 4 0 5 1 4 I 6 1 1 1 7 1 9 1 2 11 1 9 1 6 1 7 Containers Type Description of Waste Quantity Units No T pe D -Drum C -Carton 0 0 Q 1 8 1❑ T B - Bag NONHAZARDOUS ❑ l�J ❑ T -Truck SOIL P - Pounds Y -Yards F1 F-10-Other 16ereby 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 not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, classified and packaged, and 1s in proper conditi for transportation according to applicable regulations ?,ads li l l L�lc l r,i (C� L / 2 erator Authorized Agent N me Signature Shipmer-if Date TRANSPORTER 510-534-6850 ck No Phone No Dillard Tracking Inc- II nsporter Name 10-h t9 55 Driver Name (Print) I..(G cress P 0 Box 218 Vehicle License No /State A O45 6 /6 7 Bion California 94514 �; Qr - Vehicle Certification _ .reby certify that the above named material was picked up I hereby certify that the above named material was delivered with a tor site listed above out incident to the destination listed below d q1Y� c_ erlfi6nature Shipment Date Driver Si Lure Delivery Date k1 • Name B F I Vasco Road Landfill Phone No 5 1 0 — 4 4 x 0 4 1 9 1 1 4001 \oath Vasco Rd Livermore Ca 94550 Dress 3reby certify that the above named material has been accepted and to the best of my Rc7howledge the foregoing is true and accurate hifthotized A enl Sr nature Receipt Date PASS CODE ;g BF1260 720