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VVd5Lt! No. <br /> I I— <br /> `R <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOW <br /> :;11r-Nia Cedar Prodiir4s !'Pll'forni;: + ed3! ar�dart� <br /> Gene,ator Name Generating Location <br /> Address 12418 E. Locke Road Address 12418 E. Locke Road <br /> Lorkeford. CA 95237 Lockeford. CA 95237 <br /> Phone No. o <br /> z 1]_1 9 1 4 1 4 1sl s 1 a o <br /> Phone No. <br /> BFl Waste Code C 10 I 2 1 2 S 3 4 g 9 9 1 Containers Type <br /> Descriation of Waste Quantity Units No. 'nTe' <br /> 0-Drum <br /> 0 0 0 1 8 l' 0 1 C-Carton <br /> 8 -Bag <br /> NON HAZARDOUS T -Truck <br /> SOIL ❑ m ❑ P -Pounds <br /> Y-Yards <br /> m � O-Other <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 /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state taw, has been property described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations. <br /> 0 2 '. S 6 "9 3 <br /> Ganerawr Auttwmed A0ent Name Shl iamt Oat• <br /> TRANSPORTER 510-634-6850 <br /> Truck No. J Phone No. <br /> Dillard Trucikiniz. Inc. <br /> Transporter Name Driver Name(Print) <br /> Address P. 0. Box 218 Vehicle Ucense NOJState 5 <br /> Bvron. California 94514 <br /> Vehicle CertitEcation <br /> I hereby certify that the above named material was picked up I hereby certify that the a named material was delivered with- <br /> at the generato listed ov out in to-Pe des alio listed below. <br /> 0 2 1 6 9 3 <br /> Driver signature st*=erd oat. Drkw S4nmm 066my Oat* <br /> DESTINATION <br /> Site Name B.F.I . Vasco Road Landfill Phone No. 0 1 0 —14 4 7 1 0 4 9 1 1 <br /> 3001 North Vasco Rd... Livermore, Ca. 94550' <br /> Address <br /> I hereby certify that the above named material has been accepted and to the be my know -the foregoing is true and accurate. <br /> Name of Aulhontod A Ont naturt <br /> i eceiat ate <br /> I <br /> PASS CODE <br /> t 0168 i. BFI260-72 <br /> TRANSPORTER RETAIN <br />