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Waste No. 7 1 5 0 g 7 <br /> Systems TM <br /> ERRIS INDUSTRIES <br /> NO �SREGIA� ,lWI.�STE MANTES i <br /> BROWNING-F <br /> GENERATOR <br /> Generator Name Generating Location <br /> Address <br /> Address ='- t• M`r p' "'" <br /> Phone No. - Phone No. <br /> v � 5 i 1 '1 Containers Type <br /> BFI Waste Code m Quantity Units No. T pe D-Drum <br /> Description of Waste �� ❑ D / C-Carton <br /> B-Bag <br /> T -Truck <br /> For. Hazardous Soil P -Pounds <br /> 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 Data <br /> TRANSPORTER <br /> i <br /> I <br /> //^ L 510-634-6850 <br /> Truck No. / W / o Phone No. <br /> Transporter Name f' ^n C <br /> Dillard Trucking, Inc. 143/93 Driver-Name(PrintL_ )_ �S <br /> Address P. o. Box 218 Vehicle License No./State <br /> Byron, California 94544 Vehicle Certification <br /> I hereby certify th t the above named material was picked up I hereby certify that the above named material was delivered with <br /> at the generator Ote listed above. - out i idem to the ddstnation listed below. <br /> U / Delivery Date <br /> Driver Sign lure Shipment Date Driver SigoAture <br /> • Y <br /> DESTINATI <br /> i Site Name B.F.l. Vasco Road Landfill Phone No. 5 1 0 » 4 - 0 4 9 1 <br /> 4001 North Vasco Rd. , Livermore, Ca. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge-th foregoin and accurate. <br /> Name of Authorized Agent <br /> Signature Reoei Da e <br /> I <br /> PASS CODE <br /> BFl260 <br /> �i 10!66 <br />