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� ,. No. 715 0 <br /> Waste TM <br /> �■C <br /> SystE ms • <br /> BROWNING- <br /> FERRISMDUSTRIES NON-HAZARDOUS SPECFAk MAS3TE MANIFEST <br /> GENERATOR <br /> Generator Name Generating Location <br /> Address F. o• Box 3155 Address 437 E. Miner Ave• <br /> tian na:non, Cu. �'+ +F� SLockcon, CA <br /> Phone No. = <br /> _ 3 0 & Phone No. <br /> mr� 12 11F Containers Type <br /> BFI Waste Code Quandt Units No. T pe D-Drum <br /> Description of Waste C-Carton <br /> Bag <br /> T -Truck <br /> Fon Hazardous Soil � 1:1m <br /> P-Pounds <br /> Y-Yards <br /> m � 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 /> C - ✓;i��$r f � .- <br /> Shipment Date <br /> signature <br /> . rz <br /> i _ rU ✓...^rw .. <br /> Generator Authorized Agent Name <br /> iTRANSPORTER <br /> i <br /> . E. - c,.. - 1-•. ,r: ,,-`.r-i 510-634-6850 <br /> Phone <br /> Truck No. ,No. <br /> Transporter Name Dillard Trucking, Inc. 143/93 Driver Name (Print) <br /> Address <br /> P. 0. Box 218 Vehicle License No./State �1 S <br /> Bvron, California 94544 <br /> Vehicle Certification J <br /> 1 <br /> I hereby certify that the above named material was picked up I hereby certify that the above narked material was delivered with- <br /> at the generator site listed above. out incident to t e dost nation listed below. <br /> Driver Signature � � 5hipmen� Dative DazeD}tei' -/ DrivBr Signature / <br /> DESTINATION <br /> Site Name <br /> B.F.I. Vasco Road Landfill Phone No. 3 4 9 1 <br /> 4001 North Vasco Rd. , Livermore, Ca. 94550 - <br /> Address <br /> is I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> I � �i� Receipt Date <br /> Name of Aul <br /> iorized Agent S'g eture <br /> PASS CODE <br /> BF1260.7 <br /> 10186 <br /> i <br />