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No. 955201Uv <br /> Systems TU <br /> BROWNING- S'CRIt=$ NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> FEARIS INDtJ <br /> GENERAT <br /> O. <br /> California Cedar Products California Cedar Products <br /> Generator Name Generating Location <br /> Address 12418 E, Locke Road Address 12418 E. Locke Road <br /> Lockeford. CA 95237 Lockeford. CA 95237 <br /> Phone No. — 9 4 S 3 8 0 0 <br /> 2 0 9Phone No. L`J�LJ <br /> BFI Waste Code A } 0 5 0- 1 2 9 3 4 9 9 A 1 Containers Type <br /> OescriEon of Waste Quantlty Units No. T(TT <br /> D-Drum <br /> C-Carton <br /> 0 0 0 1 8 a 0 1 B-Bag <br /> SOI HAZARDOUS ❑ m ❑ T Truck <br /> SOIL P-Rounds <br /> Y-Yards <br /> 1 :1 <br /> F1m El 0 <br /> -Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 280.10 or any applicable <br /> state law, is not a hazardous waste as defined by 49. R Part 281 or any applicable state law, has been properly described, <br /> classified and packaged, and is In proper conoitloryf� naportation according to applicable regulations. <br /> Generator Authorized Agent Name net Shipment Dale <br /> TRANSPORTER <br /> ,[[ <br /> Truck No. ` Phone No. 31Q-834-6850 <br /> Dillard Truc_kinst. Inc. <br /> Transporter Name deb 480a,12 Driver Name (Print) L �, <br /> Address P. 0. Box 218 Vehicle License NoJState S p a 7s"6 y lA <br /> Byron, California 94614 / <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 /> al the geneator sits ilmod abowe: out Incident to ths-dsWnatIVn1IyWbsiaw: <br /> 0 2 1 G s 3 / 6 <br /> Driver Signature Shipment Date DrIV0 Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F. I . Vasco Road Landfill Phone No. 3 1 0 — 4 4 7 0 4 9 <br /> 4001 North Vasco Rd. . Livermore. Ca. 94550 <br /> Address <br /> .r- <br /> I hereby certify that the above named material has been accepted and to the of my kn dge the fo g Is true and accurate. <br /> Name of Authorized A ent til nature Reaol t D to <br /> PASS CODE <br /> 10188 SF1260-720 <br /> TRANSPORTER RETAIN <br />