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Waste No 854328 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> � Exxan Cos,,t�ast\ L S A <br /> erator Name Generating Location <br /> ddress P 0 Box 4415 Address 3128 k Benjamin Holt Dr <br /> Houston Texas 77310-4415 Stocktoa Cal�`oinzc <br />' S 1 — 2 4 f� 8 7 0 0 — <br /> Phone No �JI-0I� Phone No <br />�F1 Waste Code C A 4 fl 5 0 6 1 7 9 2 1 1-9-k 1 1 1 r 1 Containers Type <br /> Description of Waste Ouantity Units No Type D - Drum <br /> C - Carton <br /> 0 0 0 T18 1❑ 0 / F1 B - Bag <br /> \0'N H4ZARDOLS T - Truck <br /> SOIL F-1 F-1 <br /> ❑ 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 transportation according to applicable regulations <br /> kL <br /> enerator Authorized Agent Na a signature Shipment ate <br /> • <br /> 510-634-6850 <br /> ruck No Phone No / I <br /> * Z, <br /> transporter Name Dillard Trucking Inc Driver Name (Punt) CJ <br /> k, - <br /> Address P 0 Bol 218 Vehicle License No /State X- <br /> 1 Byron California 94514 <br /> Vehicle Certification m 2 7 Z 9 <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br />�t the gene atar ss isTcl above out incident to the destination listed below <br /> r <br /> river fgnature Shrpment Date Driver Signature Detivery Date <br /> DESTINATION <br />�ite Name B F I l-asco Road Landfill Phone No <br /> 4001 'north \Tasco Rd Livermore Ca 94550 <br /> Address <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoin rue and accurate <br /> e of Authorized Agent Si t re Receipt Date <br /> f ` J <br /> _ PASS CODE <br /> 10166 BF1260 720 <br /> s R w rte 3i"Ei1 <br />