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OWasteNo. rr,G v <br /> Systems • � <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIALA&ASTE MANIFEST <br /> GENERATOR <br /> Generator Name AT. Marko L n6 Generating Location t - <br /> Address c n n.,,- = t -s Address '.3 u+ r <br /> San Ramon, Ca. 94583 Ftotkton, CA <br /> Phone No. 5 I 0 — 2 i 7 2 3 6 8 Phone No. <br /> BFI Waste Code = 1lI <br /> t3 t8 Q � Containers Type <br /> Description of Waste Quantity Units No. Type D-Drum <br /> ® Oo ❑C � C-Carton <br /> V Y B-Bag <br /> Non Hazardous Soil E m El T-Truck <br /> P-Pounds <br /> Y-Yards <br /> E m 1:1 1 <br /> O-Other <br /> 1 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 /> clan fled and packaged, and is in proper condition foOransportation according to applicable regulations. <br /> Ze Z <br /> Generator Authorized Agent Name - Signature Shipment Date <br /> /!1 <br /> TRANSPORTER <br /> Truck No. I Phone No. 510-634-X6{850 <br /> Transporter Name Dillard Trucking, Inc. 143/72 Driver Name(PdnQ 15f Law4e nce <br /> Address r o Rou ?19 Vehicle License No./StateV/76 <br /> ^ 00 <br /> Syron, California 94544 Vehicle Certification rK3 / 3004K-,5_ <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> at the gener for site listed above. out incident o the destination listed below. <br /> Z7if <br /> G�/n Gam. n 6 J Gd f ()__C4 L,c._ <br /> Driver Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F.T. Vasco Road Landfill Phone No. n - <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 y knowledge the foregoing is true and accurate. <br /> Name of Authorized Attent Signature Receipt DaW,' <br /> V <br /> PASS CODE <br /> 10186 . BMW <br /> TRANSPORTER RETAIN <br />