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,J <br /> Waste No:'I 5 431 6 7 7 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE <br /> MANIFEST <br /> i <br /> GENERATOR <br /> Generator NameHerrick Stockton Steeli <br /> Generating Location St e <br /> AddressP.O. Box 84-2.2 Address ... 300- <br /> StOChlon. CA 95208 _ StockLQ l Ch 9521� <br />. Phone No. Phone No. 0 , y <br /> BFI Waste Code 1 -1 - Containers Type <br /> Description of Waste Quantity Units INo. T pe D-Drum <br /> 1 C-Carton <br /> B - Bag <br /> Non-Hazdardous Soil ContaminatedElI� 1:1T -Truck <br /> with Diesel P - Pounds <br /> Y-Yards <br /> ❑ ❑ 0-Other j <br /> I hereby certify that the above named material does :not contain free liquid as defined by 40 CFR Part 2fi0.10 or any applicable <br /> state law, is not a hazardous waste as defined ned b 4Q CFR Part 2fi1 <br /> Y or any applicable slate faw, has been property o erl described <br /> P P Y , <br /> classified and packaged, and is in pro er condition for ansportatian accordin to applicable regulations'. <br /> la g PP <br /> a <br /> u y <br /> Generator Authorized Agent Name Signature 't Shipment Date <br /> TRANSPORTER <br /> d <br /> 415-:343-5946 <br /> Truck No. Phone No. <br /> Transporter Name C 'C s '!'rucking <br /> Trans _ .fT <br /> p Driver Name (Print) 6-t' ✓l`r <br /> P.O. Box 1626 2 X,)5_ �.IL7 } <br /> Address Vehicle License No./State <br /> Sart Hatec, CA 94401 r <br /> Vehicle Certification <br /> I 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 listed above. out incident to the destination listed below. <br /> Ze <br /> Driver Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> BFl Vasco Road Sanitary Landfill 5 1 <br /> Site Name Phone No. <br /> 4001 North Vasco Road, Livermore,' CA 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my kn led a the foregoing is true and accurate. <br /> Name of Authorized Agent Signature i Receipt pate <br /> r <br /> PASS CODE <br /> a 6 <br /> 10168 <br /> eFizsa7zo <br /> i <br /> I fNI (7AhINIG..ARF=A r()PY <br />