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Waste No. 7 , 5 0 ,j y <br /> BROWNING-FERRISSysteI11S TM <br /> SPLOAL'W` STE MANIFEST <br /> GENERATOR NDUSTRIES <br /> Generator Name <br /> UNOCAL Afarketing Generating Location UNOCAL Station +10187 <br /> Address P. 0. sox 5155 Address 437 E. Miner AVe <br /> San Ramon, Ca. 94583 �SLoockton, CA <br /> Phone No. ' 1 — 2 2 3 6 8 Phone No. <br /> c A L_.J—u , 1 3 P= <br /> 6 Containers Type <br /> BFI Waste Code QuanttJKLE, units No. T e D-Drum <br /> Description of Waste I ❑ C-Carton <br /> B-Bag <br /> T -Truck <br /> Non Hazardous Soil El m 0 P-Pounds <br /> —Ir--II Y-Yards <br /> O-Other <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 for transportation according to applicable regulations. <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> V1y -, � 510-634-6850 <br /> Truck No. A <br /> I I �'�`+P One ljo. <br /> Dillard Trucking, inc.' 143!93 Driver Name(Print) <br /> Transporter Name . . <br /> Address -f' C� _ <br /> P. 0. Box 218 - Vehicle License NoJStateJ <br /> _ <br /> Byron, California 94544 Vehicle Certification <br /> r <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> generat site listed above. x out incident to the destination listed below. <br /> (� 1-:5:9 <br /> , <br /> M /+' / ' - <br /> Delivery Date <br /> -Driver Signature sh eM Date. over Signature <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. <br /> 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> P Address <br /> I hereby certify that the above named material has been Lacceptednd to the be of now orego,ng is true and accurate <br /> - - 'ReceiptDat <br /> { Name of Authorized enI <br /> f <br /> /) %, ,ASS OODE <br /> i' C.�{,� BF126r <br /> 101116 C I <br /> 1 <br /> RETAIN <br />