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43Waste No <br /> SYstems - <br /> M <br /> ING-FEMISINDUSMES NON-HAZARDOUS SPECIAL WASTE MANIFEST � <br /> I NEMM e <br /> =--erator Name <br /> Exxon Company U.S.A_ Generating LocationExxon Station #7-3330 � <br /> kadress P O Box 4415 Address 3128 W Ben Jamin Holt Dr <br /> Houston Texas 77310-4415 Stockton California <br /> 'hone No 6 1 _L2 4 8 8 0 0 Phone No <br /> if Waste Code m Containers Type <br /> Desert hon of Waste Quantity UNo E4 l_ 1 B-Sag <br /> D-Drum <br /> 1 El <br /> Q 0 0 1 8 C-Carlon <br /> ItiO HAZARDOUS -Truck <br /> SOIL � J F1 T n <br /> P-Pounds <br /> Y-Yards <br /> ❑ m El -Other <br /> 1 hereby certify that the above named matenal 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 property described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations <br /> "G pFMAKzo , <br /> Aftwor7uomnzed Agent Alamo Sgnatur _ Shipment Date y <br /> 510-634-6850 <br /> ruck No Phone Na <br /> Dillard Trucking Inc 2,55 c ' <br /> r spoiler Name Driver Name (Pant} <br /> address Vehicle <br /> 0 Roe 218 Vehicle License No/State <br /> Bvron California 94314 __2 _ _ <br /> Vehicle Certificatton � �`-� <br /> hereby certify that the above named material was picked up i hereby certify that the above named material was delivered will- <br /> t e generator site listed above out incident to tl'ie destination listed below <br /> n. ,gnatura V Shipment Date pnver Signature Delivery Data <br /> ,t Name Phone No <br /> d' ess <br /> her certify that the above named material rias been accepted and to the best of my knowledge the foregoing is true and arcuraie <br /> ,r-,,sof AUthonxt0 Agent '__---�eceipf Daio <br /> ,,, <br /> PA; C'Ctif)F - <br />