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Waste c BF[ Acct _ No. 1003042 No 907975 ImSystems TM BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR lvl�G C.al LedS tip 1649 �l�crrlrit I �C Generator Name Generating Location F U BOx 55 103 Stcac st n , C dress Address 95205 5 3 6 tone No phone No ��— Waste Code m 0 I 2 3 ' Containers Type Description of Waste Quandt Units No T pe D - Drum Lax �� 1 C,ontr�ti1iI atr=d doll C - Carton I 8 ❑! EE B - Bag ❑ m ❑ T -Truck P - Pounds Y - Yards ❑ m ❑ 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 isln proper/co ition f/or nsportatio ccordi to applicable regulations l d I. f� i riel�a, t or Authorized Agent Name Signature Shipment Date • �uck No Phone No 9 1 6 b68 -9,316 IA F' Crt ,�-� i-e,nmental 5i~r'vic�., ansporter Name Driver Name (Print) E►nC'_ Y "<-V _ `c)n J400Nl��r�or SLr&ot dress Vehicle License No/Statek' '3 S l el d , Ca, 93308 Vehicle Certification ereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- d the generator site listed above out incident to the destination listed below raver,.�� Y -SCJ � i "-` I c 4' ' � .1 igriature hipmeni Date Driver Signature Delivery Date DESTINATION V7 .i kOad SclnI tar,V Land --s -1 l e Name Phone No 10 — 4 4 l ( 4 9 I 10L" I 166ata koad , L7vermore , Ca 94br)o ddress lereby certify that the above named material has been accepted and to the list of 5y--k wledge the f Ing is true and accurate t 1 r /O t Authanzed ent Si nature receipt pate rr PASS CODE 186 - BFI260 720 UNLOADING AREA COPY