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Waste, .� NO. 1 _i- .- ORDER <br /> 'f • �_ - T BILL <br /> Systems TM <br /> ERRNON-HAZARDOUS SPECIAL WASTE MAN <br /> BROWNING-FIS INDUSTRIES <br /> GENERATOR <br /> Generator Name UNOCAL Marketing Generating Location <br /> Address P. 0. Box 5155 Address 437 E. miner Ave. <br /> San Ramon, Ca. 94583 Stockton, CA <br /> Phone No. a I G —1 21 ' 1 7 1 2 3 =8 Phone No. <br /> 13 11 11 14 In C A u <br /> BFI Waste Code m Containers Type <br /> Description of Waste Quanti Units No. T pe D-Drum <br /> C-Carton <br /> B-Bag <br /> Non Hazardous Soil 1 m El T -Truck <br /> E <br /> P-Pounds <br /> Y-Yards <br /> L JAL I E m oi— <br /> 1 <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 /> 1 / <br /> o`icl: �• gilt i :, ✓c S <br /> Generator Authorized Agent Name - igneture `-ShipmenrDate-------TRANSPORTER• <br /> 510-634-6850 <br /> Truck No. r (, Phone No. <br /> Transporter Name Dillard Trucking, Inc. 143193 Driver Name (Printer <br /> Address P. 0. Box 218 Vehicle License NGJState <br /> Bvron, California 94544 <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up 1 hereby certify that the above named material was delivered with- <br /> at the generator sit771)� <br /> above. out' cident to the destination listed below. <br /> Driver Sign - U_Wl- IL 9V <br /> shipment Date Driver SicnatureDelivery Date <br /> e •✓ <br /> Site Mame B.F.I. Vasco Road Landfill Phone No. 5 1 0 — 4 1 4 1 i 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 /> I I I � <br /> Neme of Authorized Agent signature Receipt Date <br /> PASS CODE <br /> 10186 BF1260-720 <br /> a <br /> i <br /> i <br />