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VAST'-" ROAD SAWARY LANDf L No: 4 4 .) 8 3 3 <br /> --rorvision or ® <br /> ® <br /> aROWNING-FERRIfiINDU6TPlE6 4001 VASCO ROAD fines <br /> • • LIVERMORE, CA 94550 C T <br /> Ticket A52811 12/03/92 I : 09 :41 am (510) 447-0491 <br /> t-tstomert CASH <br /> _Dunt It 1009539 LMS# 999 Ot 08 :45 am <br /> If •ick t 3 <br /> III •;� �ifestt DILLARD <br /> Cha 3. No t RUFF STUFF <br /> $:ducker t RAYMOND WARNING:Transporting any unauthorized <br /> _ hazardous waste to thisfecility for disposal is <br /> Prohibited by law. Persons violating this <br /> ��Ute! Contents • Rate prohibition are subject to civil and criminal <br /> Charge prosecution. —I' <br /> ----- -- ---------- ------ lluuy <br /> rho 18.00 yd SLUDGE 22.00 396.00 M?ZttA <br /> SFITAL # 396.00 'm <br /> All d.toly must remain in vehicles. .rton <br /> Ab,oluy'lIy no wlvpip allowed. <br /> eck Tendered # 396.00 Nene,daL.a p.rmaneceren on los acro, 6 Q <br /> tinge $ 0.00 0lodes hems, luck <br /> No " permits Ileal aces dal dompe funds <br /> absolutomente. Y f ird5 <br /> HAVE A NICE DAY ! ! ! <br /> Ther <br /> l` ppable <br /> MM#tc ped, <br /> It"I <br /> t"I <br /> DRIVER <br /> _. DRIVER �I <br /> r Truck No. - Phone No.-�-/D C'::� V- '3 s J - <br /> Transporter Name (Print) <br /> %:. "✓. . Driver Name <br /> - � <br /> Address / Vehicle License No./State <br /> Vehicle Certification '7" ' G <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> al the generator site listed above. out incident to the destination listed below. <br /> Driver Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> ^,t > <br /> Site Name Phone No. <br /> Address <br /> 1 hereby certify that the above named material has been accepted and to the bes f-my-knowled he o"f regoing is true and accurate. <br /> 10 1,17,If T1,71159, <br /> Name o1 Authorized Agent Si nature Receipt Date <br /> ( PASS CODE <br /> BF1260-720 <br />