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Waste No 854319 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> F-�tior Cnmpant t_ c , S. 11 t on =`r-333f; <br /> nerator Name Generating Location <br /> ddress P 0 Boa 4415 Address 3128 h Benjamin Holt Dr <br /> Houston Texas 77310-4415 Stockton California <br /> 2 4 6 3 7 0 0 — <br /> Phone No Phone No <br /> IFI Waste Code C A 0 6 1 i 9 2 1 9 6 1 7 Containers Type <br /> Description of Waste Quantity Units No Type D - Drum <br /> 0 0 0 1 8 Z � T C Carton <br /> ALJ' u g - Sag <br /> NON HAZARDOUS T Truck <br /> SOIL ❑ m ❑ P - Pounds <br /> Y - Yards <br /> ❑ = ❑ 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 for traAspQrtation according to applicable regulations <br />■/I c u lLl L IIIc a , F � ' ` <br /> K �� <br /> enerator Authorized Agent Narne Sig at Shipmen Date <br /> • <br /> ruck No Phone No <br /> Dal and Trucking Inc 1 <br /> transporter Name _ Joh Driver Name (Print) r— <br /> Address P 0 Box 218 Vehicle License No/State <br /> Byron California 94514 <br /> Vehicle Certification <br /> hereby cerllfythat the above named material was picked up I hereby certify that the above named material was delivered with- <br /> t the generdtor site listed above out incident to the destination listed below <br /> aver$ognat re Shipment Date Driver Signature Delivery Date <br />,lite Name B F I Vasco Road Landfill Phone No <br /> 4001 North Vasco Rd Lj%ermore Ca 94350 <br /> tddress <br /> hereby certify that the above named material has been accepted and to the be n0 a the foregoing is true and accurate <br /> of Authored Agent S ature f eceipt Date <br />' J I PASS CODE w <br /> 10!$6 BF1260 720 <br />