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;. -Waste No 854318 Systems TM 8ROWNfNG-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST • enerator Name C\\ort Compan\ L e Z`Generating Location rj on =7-S330 P 0 Boa 4415 3128 fA Ren 3dniin Holt Di Address Address _ --- - ' ti�_uston Teas 77310-4415 Stockton California Phone No =—I 2 4 u 8 7 0 0 Phone No 1171 Waste Code C a 4 4 5 0 6 1 r 9 2 1 91. 6 3 7 Containers Type Description of Waste Quantity Units No Type D Drum 0 1 0 r C Carton 0 0 8 B Bag NON HAZARDOUS T -Truck SOIL ❑ ❑ P Pounds Y - Yards F-1m a 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 not a 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 conditio'n or rt tion according to applicable regulations r L I L enerator Authorized Agent Narhe Signature Shipment ate • 510-634-680 Truck No Phone No transporter Name Dillard Trucking Inc Driver Name (Print) n_d N fit-Q F S 'd T Address P 0 Box 218 Vehicle License No/State Z� ' Byron California 945141 Vehicle Certification � _-7 o U Z) hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with t the generator site listed above out incident to the destination listed below OImcaver Signature Shipment Date Drive naturey f 7 lite Name B F I Vasco Road Landfill Phone No 1 a 1 1 1 0 — 4 4 7 0 1 4 L 9 1 I 4001 'north Vasco fid Livermore Ca 94550 (ddress hereby certify that the above named material has been accepted and to the best of owlsdge the foregoing Is true and accurate of Authorized A ant Si nature Receipt Date ' PASS CODE 10186 6FI260 720 �, L rt.