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jWasteN&y'J '. r 0 ' 4 <br /> System:`. TM • 0 <br /> BROWNING-FERRIS INDUSTRIES AON-HALARDOUS SPECIAil 1/AS 'LF MANIFEST <br /> GENERATOR <br /> Generator Nameoc.ai Harkccing Generating Location ` sc;:,t. SLatioa u:;tE- <br /> Address P. 0. Box 5155 Address 43: E. Miner Ave. <br /> San Ramon, Ca. 94583 Stockton, CA <br /> Phone No. 1 — 2' ° 6 e Phone No. <br /> BFI Waste Code r r I r r 11 11 r r I Containers Type <br /> Description of Waste Quantity Units No. Type D-Drum <br /> 1010 O Fj YI ❑ � T� C-Carton <br /> B-Bag <br /> `- ' son Hazardous Soil T-Truck <br /> y <br /> 14'1" El m El P-Pound- <br /> i Y-Yards <br /> I El F—F-1 E] I <br /> O-Other <br /> i <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 is in proper condition <br /> fortransportationaccording to applicable regulations. <br /> 17I <br /> Generator Authorized Agent Name Signature Shipment Date- <br /> TRANSPORTER <br /> t <br /> i <br /> 510-634-6850 <br /> Truck No. ( Phone No. <br /> /! n <br /> Transporter Name Dillard Trucking, inc. 143/93 <br /> Driver Name(Print) r, FCl L/ ZIa ,o7 <br /> Address P. 0. Box 218 Vehicle.License NolState3 )c <br /> Bvron, California 94544 0 61 S.2 d <br /> Vehicle Certification f' <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> at the generator site listed above. out incident to the destination listed below. <br /> n�� o z 1 f `I 9 V 11 <br /> Driver Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> I <br /> Site Name B.F.I.—Vasco Vasco Road Landfill Phone No. 5 1 0 — 4 4 7 0 4 9 1 <br /> 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> Address <br /> 1 hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> Name of Authorized Agent S nature%- - Recei t Da e <br /> PASS CODE <br /> 10166 - BF1260.: <br /> i <br /> l _ <br />