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VASCO Rn 4D SANITARY LANUMLL NO: 440V-L-L <br /> A Drvl Sloa�0o BROWNING-FERRIS INDUSTRIES 4001 VASCO ROAD <br /> LIVERMORE, CA 94550 <br /> (510) 447-0491 EST <br /> A52988 12/03/92 1 : 03 :10 pm . a-�- <br /> Aer: CASH <br /> aunt 1009539 LMS# 999 O: 03 : 11 pm <br /> ck 3 <br /> n <br /> if est : 950776 WARNING:Transporting any unauthorized <br /> No RUFFSTUFF hazardous waste to this fecility tordisposel is <br /> prohibited by law. Persons violating this <br /> ecker CIE prohibition are subject to civil and criminal I <br /> prosecution. <br /> !oi ume Contents Rate Charge <br /> ------- -- -------- <br /> ------ ------- <br /> 18.00 yd SLUDGE 22.00 396 .00 Type <br /> ———— All children must remain in vehicles. -Drum <br /> $ 396.00 Absolutely no salvaging allowed- u <br /> 7TAL il -Carton <br /> NinDe deben de permensurM en lu umu <br /> a lodes hones. v - -Bag <br /> $ 396.00 •Truck <br /> leek Tendered No w permits Never waes dal domes <br /> range 0.00 •bwlm•^ne^t•. D -Pounds <br /> .Yards <br /> HAVE A NICE DAY . . . -Other <br /> �) <br /> Ilicable <br /> scribed, <br /> DRIVER <br /> DRIVER <br /> --------- ----- -- -- --- --- - --- --- <br /> Truck No. <br /> - `_: Phone No.—� <br /> Transporter Name - <br /> Driver Name (Print) <br /> Address . - <br /> e Vehicle License No./State 1-1 eco 7 Z i% <br /> j Vehicle Certification '` k <br /> �a. p I hereby certify that the above named material was delivered with- <br /> I hereby certify that the above named material was picked u <br /> out incident to the destination listed below. <br /> at the generator site listed above. <br /> Shipment Date Driver Signature Delivery Date <br /> Dryer Signa e <br /> I v 1 at��ri <br /> 1 L._ <br /> Si Site Name Phone No. I�L� <br /> a Address <br /> f I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoin is-true and accurate. <br /> ��/ <br /> Receipt Date <br /> a Si nature <br /> Name o'Aulho-izec A enl <br /> PASS CODE <br /> 8FI260-M <br />