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f S TM "IJNo. <br /> F@RRts INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> t i <br /> Generator Name Herrick/S Ockton Steel <br /> Generating Location Stockton Steel <br /> Address P•O. f-Box 8429 i <br /> Address 3003 East: Hammer Lane <br />! Stockton CA 95212 <br /> I Stockton CA 95208 <br /> E� h <br /> Phone No. 2 0 g 9 5 6 4 7 5 1 Phone No. =_6 5 6 L. k 5 1 <br /> t i <br /> BFI Waste Cod C A 4 0 5 0 3 1 5 9 3 5 3 3 4 1 ContainersqBag <br /> Description of Waste Quant! Units No. T e <br /> 0 0 1 g � ❑� � <br /> w Non-Hazdardous Soil Contaminated with Diesel ' <br />" I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.'10 or any applicable <br /> s state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified acid packaged, and is in pro er ondition for tran ortation act: ng to applicable regulations. <br /> I� � <br /> Generator Authorized Agent Name Signature <br /> Shipment Dale i .l <br /> TRANSPORTER. <br /> -r <br /> !� ! <br /> Truck No. 415-343-534b <br /> �p Phone No. , <br /> Transporter NaGREG's Trucking !! <br /> me <br /> P.O. Box 1526 Driver Name (Print) <br /> -7 <br /> Address Vehicle License No./State /S <br />. 1 <br /> San Mateo, CA 94401 t <br /> 4 Vehicle Certjfication p <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator site li t9 above. out incident to the destinati sted below. <br /> l <br /> Driyer Signature f� - Shipment Date Driver " ature <br /> V Delivery Date <br /> DESTINATION <br /> BFI Vasco Road Sanitary Landfill 5 1 0 <br />,,Site Name 'h Phone No. 4 4 1 0 4 9 1 <br /> ❑�— <br /> 4001'!North Vasco Road, Livermore, CA 94550 <br />'Address <br /> °I I <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge foregoing is true and accurate. I <br /> Name of Authorized Agent <br /> Signature Recei <br /> i <br /> M <br /> • PASS CODE <br /> 10186 <br /> BFI260-720 <br /> i <br /> I UNLOADING AREA COPY I <br />