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, Jwaste No. ;15 p ;3 6 Systems TM ON-HAZARDOUS SPECIAL ; ASN E MANIFEST BROWNING-FERRIS INDUSTRIES r. -1 CAI GENERATOR Generator Name ^=- • Generating Location ' I.: - Address e. i°5 Address .3- E. -;_ne: A,C. San Ramon, Ca. 94583 SI_0�k Lon, CA Phone No. 5 1 0 — 21 7 - 21 3 6 8 Phone No. BFI Waste Code C A 4 0 ) 2 1 115= ? i 1 4 G - Containers Type Description of Waste Quantity Units No. rIType�� D-Drum I 1 11 ledLTJ C-Carton B-Bag T-Truck Non Hazardous 4kii E m 1:1P-Pounds a Y-Yards I F m El O-Other I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations. oz- 7- Z Generator Authorized Agent Name Signature'"` ° _ Shipment Date 11111110 TRANSPORTER Truck No. �� / Phone No. 510-634-6850 Transporter Name Dillard Trucking, Inc. 143/93 Driver Name(Print) ` Address n n R 71A Vehicle License No./State Byron, California 94544 Vehicle Certification 8) I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the generator site listed above. out inci ant to the destination listed below. Driver Signature Shipment Date . Driver Signature Delivery Date DESTINATION Site Name R F r v u d r df+ 1 Phone No. LS L� 1 i3 7 Address 4001 North Vasco Rd., Livermore, Ca. 94550 1 hereby certify that the above named material has been accepted and to the best y-knowl a the fo is true and accurate. i Name of Authorized Agent Sionaturre ace' t Date I PASS CODE BF126G-7 10196