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f Waste No 854335 BROWNING-FSystems TM NDLfSTRlES NON-HAZARDOUS SPECIAL WASTE MANIFEST • rddress erator Name 3 Company =7- 3330 Generating Location ? l,o" �� '* - o ' P 0 Soh 4415 Address 3128 Benjamin Holt Dr Houston Texas 77210-4415 Stockton Ca'. xfot . is ' nS ~1 O — 2 4 6 8 i 0 0 ` Phone No d L� Phone No �Fl Waste Code C A 0 1 6 1 1 r 1 9 1 2 1 96 F1 7 1 Containers Type Description of Waste Quantity Units No Type D - Drum 0 0 0 1 8 E C Carton B - Sag 7NONAZARDOUS T -Truck ❑ m ❑ L �J P Pounds Y Yards ❑ r j ❑ 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 condition for transportation according to applicable regulations IEI h f c L V ! l C7 enerator Authortized Agent Namb Signature Shipment Date • 510-634-6850 ruck No Phone No Dillard Trucking Inc transporter Name - /�Driver Name (Print} , �c�� i �• . rr?122111L _ Address P 0 Box 218 Vehicle License No /State ' Bvron California 94514 Vehicle Certification 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 ve out mci nt to the destmatio �5ted below I L?1,� 12 lj]��JZ L2 k- 1Z IER�� er Signa ure Shipment Date er Signature Delivery Date f �ite Name B F I Vasco Roan Landfill' Phone No 5 1 0 — 4 4 7 0 _4L 9 > 4001 'forth Vasco Rd Livermore Ca 94550 ddress x hereby certify that the above named material has been accepted and to the best of owledge the foregoing 1s true and accurate of Authoozed Agent Signature Receipt Date rPASS CODE 10/86 EF1260 720