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LA <br /> waste No. 957243 <br /> wmwSystemsTm <br /> BRCWNINa-FERRIS INDUSTRIES NON-HAZA FIDOOS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Callfornia Cedar Products C11h4ornla Cedar Products <br /> Generator Name Generating Locatlon <br /> Address <br /> 12113 E. Locke Road Address ` 12,41V �\Lbke Road <br /> Lackeford. CA 95237 Lockeford. CA 95237 <br /> ( 2 0 9 w.. x 0 0 _ <br /> Phone No. L�I_J—J 9 4 5 8 Phone No. <br /> BFI Waste Code 4 0 10., 12 1 2 9 3 -t 9 9 9 1 Containers Type <br /> Description of Waste Quantfty Units No. T e D.Drum <br /> 0 0 o i s a 0 1 c-CartonLJ <br /> NON HAZARDOUS B-Bag <br /> SOIL T -Truck <br /> ❑ YYar� <br /> • s <br /> 0_ 1 - 1 IEJm a 0-Cnher <br /> I hereby certify that the above named material does not contain tree liquid as defined by 40 CFR Part 260.10 or any applicable <br /> 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 and packaged, and is In proper condition for lyransportation according to applicable regulations. <br /> 2 1 6 3 <br /> Generator Authorized Agent Name si Shipment Date <br /> TRANSPORTER <br /> 510-634-8850 <br /> Truck No. Phone No. <br /> Dillard Trucking. Inc. I V��►� <br /> Transporter Name Job *302/2 Driver Name(Print) /l <br /> P. 0. Box 218 <br /> Address Vehicle License No./State <br /> Byron. California 94514 <br /> Vehicle Certlficatlon <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 yenaratrrr sits dials*ebtays - out ldcident'to the z"' <br /> Ddver Stpnature Shipment Date Driver ftnature DaUvery Date <br /> s <br /> DESTINATION <br /> Site Name <br /> B.F. I . Vasco Road Landfill Phone No. 1 0 5 4 4 7 1 0 J 9 9 1 <br /> 4001 North Vasco Rd. . Lii:ermore. Ca, 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to thvik/a" o dge th foregoing Is true and accurate. <br /> 4: <br /> Name of Authorizetl A ant signature R Ipt Dete <br /> PA88 CODE <br /> 10186 <br /> eFlQao-r2o <br /> TRANSPORTER RETAIN <br />