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' Waste No 854334 <br /> Y <br /> Systems T <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> Eti�ci Cnritti�l3\ S E\\on Station �i-3330 <br /> nerator Name Generating Location <br /> ddress P 0 Boa 4.110 Address 3128 to Benjamin Holt Dr <br /> Houston Tetras 77310-4413 Stockton California <br /> — 2 � G 8 7 0 0 — <br /> Phone No i�0� Phone No <br /> 1_1 Waste Code C A 4 0 5 0 1 6 1 1 1 + 1 9 1 2 1 9 6 1 7 Containers Type <br /> Description of Waste Quantity Units No Type 0- Drum <br /> 0 0 0 1 8 �V-1 C - Carton <br /> B - Bag <br /> NO% HAZARDOLS T - Truck <br /> SOIL Elm ❑ P Pounds <br /> Y Yards <br /> ❑ m � Q- Other <br /> I 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 1s in proper condition for transportation according to applicable regulations <br /> aerator Authorized Agent t me Signature Shipment Dale <br /> • <br /> 030-634-fi800 <br /> ruck No Phone No <br /> Dillard Trucking Inc <br /> lansporter Name ,v <br /> Driver Name (Print) — _ S <br /> Address P 0 Bok 218 Vehicle License No/State —7 <br /> Byion California 94014 c �c S - <br /> Vehicle Certification �aV <br /> 1 hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br />!Jki��ene�rafo-VsTte,listed above ut-tnc estination listed below <br /> ver Signature Shipment Date Driver Signature Delivery Date <br /> 11111111 <br /> B F I Vasco Road Landfi l l Phone No 0 1 0 — 4 4 7 <br /> lite Name 0 4 9 1 <br /> 4001 North Fusco Rd Livermore Ca 9,050 <br /> tddress <br /> hereby certify that the above named material has been accepted and to the best of ledge the foregoing 1s true and accurate <br /> of Authorized Agent S. nature eceipt Oat <br /> PASS CODE <br /> 10186 SF1260 720 <br />