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r Waste No 854316 <br /> r <br /> SystemsTNON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIESSTRIESi� <br /> • <br /> I' ala I' L 5 .i [ Cti t I or =7 ; "JC <br /> O <br /> frdd <br /> erator Name Generating Location <br /> essP y.0 Bo4415 Address 3128 h Benlamin Holt Dr <br /> tfoustor Texas 77310-4415 Stockton Califoinia <br /> 5 1 C-.1— 4 6 7 0 G rr <br /> Phone No �J Phone No L� <br />'FI Waste Code = 1 4 0 S 0 6 1 73 2 1 9 6 1 ; Containers Type <br /> Description of Waste Quantity Units No Tpe D - Drum <br /> 4 0 0 1 $ a W ( T j C Carton <br /> L_1—J II -- 11 B - Bag <br /> %0\ HAZARDOLS T -Truck <br /> SOIL ❑ m ❑ P Pounds <br /> LTJ Y - Yards <br /> El ❑ O-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 fort anon according to applicable regulations <br />■�AizI, Ill`I L L'/�_ L1,> :F- &cilj I .Z: t y� C. (.0 I 2 2 <br /> enerator Authorized Agent Narfie Signature - Shtpment bale <br /> • <br /> 510-634-6850 <br /> ruck No Phone No <br /> Dillard Trucking t ^Inc <br /> ransporter Narne Driver Name Print <br /> Address P 0 BoN 218 Vehicle License No /State <br /> 1 Byron California 94514 3 OQ`�75-7- <br /> Vehicle Certification <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> e ator-stie listed above inch `n1 o the_dest isted below <br /> t � <br /> Inver Signature Shipment Date Driver Signal a Delivery Date <br /> Itte Name B F I Vasco Road Landfill Phone No a 1 0 - 4 4 <br /> 4001 'north Casco Rd Li,,ermore Ca 91,550 <br /> Oddress <br /> hereby certify that the above named material has been accepted and to the best of my knawId the foregoing is true and accurate <br /> of Authorized Acieni St nature Recerot uatC <br /> PASS CODE <br /> tp186 BF1260 720 <br />