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Waste No 8 -94324 Systems TM BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST • �y Compai,\ C S A F\%nn Stati G , r7 3330 enerator Name Generating Location ddress P 0 Boa 4415 Address 3128 k Benjamin Holt Dr ' Houston Teas 77310-4415 Stockton California ] £'0 _ 2 � 6 7 0 0 Phone No J Phone No — �Fl Waste Code J__ J d_ � 0 1 6 1 1 1 T 1 1 9 6 1 7 Containers Type Description of Waste Quantity Units No Type D - Drum a a o 1 8 aEl C - Carton B Bag NON HAZARDOUS T - Truck SOIL ❑ I ❑ P - Pounds Y - Yards ❑ m F-10- Other ' t 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 for trortation according to applicable regulations LCIkkLi L L'/2Ll'1 _--1~ ��(__ t "7.N ), lz 1111Z Denerator Authorized Agent Na a S+gnature Shipment Date • j30-63y-6850 ruck No . Phone No Dillard Trucking Inc transporter Name Jnh _2 155 Driver Name (Pant) �� 19,Af r Address P 0 Bol. 218 Vehicle License No /State � X Bvran California 94514 �i g Vehicle Certification 3 �o a 2 r I 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 �2n JO 16 12171 aver Signature Shipment Date Driver Signature Delivery Date III I miliq11111111111 =11 • [te Name B F I \asco Road Landfill Phone No 1 4 7 0 4 9 1 4001 North Vasco Rd Livermore Ca 94550 ddress hereby certify that the above named material has been accepted and to the best of my knowle5ge the fpfegoing is true and accurate of Authorized Agent Signature Receipt Date / PASS CODE 10166 BFi260 720 1 s l 1 t f, r _ r ,r _