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u- <br /> iA <br /> FINE 00 <br /> �i <br /> Waste Nti. 40:17 0 <br /> SysteMS T11 NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> unoWl mG•rEnnls Iffus"' 5 . fit 1 <br /> { air b, UNOCAL station strati <br /> 1:%O(:AL 1ar4 eL lus; Generating Location <br /> Generator 1`439110 6O1 f 1?+:tE 1t'Inan Lttnr' <br /> 531 t _ Address <br /> Address `- Lotti. CA <br /> :i:trt Mateo. Cu. 1`14402 <br /> ((;",! _._n i 7 2 3 f1` tt pltano No. <br /> Phone No. l�� �— l n Containers TYao <br /> FEE=] Tie n cation Ouanti Units No. C.Carton <br /> BFI Wase Code Description of Waste _ <br /> Q [I �n l�J 13-f3a9 <br /> T -Truck <br /> c r:a{vIcnlzt:xuur: Sul i rgf t trrLnind <br /> pounds <br /> on +.rf Linde <br /> st.o;:t;e tank <br /> Y,Yards <br /> ❑ p Other <br /> EE ❑ <br /> by 40 CFR Part 260.10 or any applicable <br /> I hereby Certify that the above named material does 0 CFF! Part not contain free lia4uany applicable state law, has been properly described, <br /> ii aas dlfined: <br /> state law, is not a hazardous waste as defined by p applicable regulations. <br /> classified and packaged,and is In proper condition for Itans artation according to app <br /> �1:•-'r-'-/.f.. Shipment C)ala <br /> ✓. j 1JJ1!._�'� signature / 4 <br /> Ge--v— '.7, r <br /> nerator Atlthorizart Agent N3mrs >• -x <br /> ;rr,y ts.-f-r;�-,"acv _""."�.,• sr t`t'}` i `ter,_ �.. <br /> - <br /> lip <br /> 313-634-GL50 <br /> Phone No. <br /> Truck No. <br /> L11l1rtrtl Tructcing, inc. Driver Name(Print <br /> Transporter Name .- � ----�G <br /> P.O. Box 213 Vehicle License No.1state <br /> Address <br /> By run. Cul i f t+t•rtia 04:,4.1 Vehicle Certification <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> out incident to the destination listed below. <br /> at tite.�enerator site listed eve. 0 r <br /> I <br /> / / Ts.�( daSlvery pate <br /> �/� � / � �l—r-� Shipment Qate prlvor Sign�lGra , <br /> ,fr�r�s / <br /> pliYer ILn'1[nrB T�RI's IN <br /> y tr1 <br /> a1` - I <br /> MR <br /> ,,,..ti�.�rtt's� .yi`H`�.,,, .�.�"�#:e � .3 ,f i 0 •3 9 4 � <br /> Vi1sco Road landf ii l Phone No. <br /> Site Name <br /> 4001 %7uritt Vasco Pd. , Livermore, Ca. 94550 <br /> i <br /> Addressj <br /> herebycertify that the above named material has been accepted and to the best of my knowledge iJie foregoing is true and accurate. <br /> LI <br /> n cat t oats <br /> Si nature - <br /> Nal Autlwrized Aaont - <br /> PASS CODE <br /> FSF1250-720 <br /> 70186 <br /> TGiANsm-m i u't"1 RETAIN <br />