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L 0 C -� BROWNING-FERRIS INDUSTRIES NOWHAZiARDUUS SPECIAL WAS i E MA[Vff-QST Generator Name Generating Location ` �° QL .1 Address 12418 E. Locke Road Address 12418 E. Locke Road Lockef ord. CA 95217 Locke ord. i-A 95237 =_9 _ 9 4 # a _ Phone No. 8 0 u .Phone Na. BFI Waste Code EE 4 1 0 ° =1 1 2 9 3 4 9 3 9 1 Containers Type Description of Waste Quantitv Units No. T e D-Drum 0 0 0 1 8 0 1 T C-Carton NON HAZARDOUS 8-Bag SOIL ❑ a T-Truck P-Pounds Y-Yards ❑ m a 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, clla��ssified and packaged, and is in proper condition for sportatlon according to applicable regulations. U Generator Authorized Agent Name Sig ture Shipment Date TRANSPORTER Truck No. �U . �' Phone No. 510-634--6850 Dillard Trucking. Inc. Transporter Name Job :*3'02/?_' , i Driver Name(Pri nt� ,� P. 0. Box 218 Address Vehicle Ucense No./Stateq. 7G C,* Byron. California 94514 Vehicle Certification hereby certify that the above named material was picked up;• I hereby certify that the 4boveinam6d�matedal`Was'delivered with- 3t the generator site listed above.' out incident to the destination listed below. 0 2 1 6 TTT3-1 ]aver Signature Shipment-10 D er signauere Delivery Dais - DESTINATION Me Name B.F. I. Vasco Road Landfill 5 1 0 _ ,t 4 7 Q 1 9 1 Phone No. 4001- North Vasco Rd. . Livermore. Ca. 94550 %ddress i hereby certify that the above named material has'been accepted and to the best of y k wledge the foregoing Is true and accurate. ams or Authorized Agent nature Receipt Dab PASS CODE u88 8F1260-724 TRANSPORTER RETAIN.