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i � ' YVdSl� r�o. 3b <br /> �R E Res INDUSTRIES <br /> t �JN-HA�r,riDC�u�:. �PE� AL WASTE M1�NiFES-i <br /> 1 t f+%rnin I-0.11 r o-ndvr'c C 1 °fU ^1 it (i�.i oral; �• C� <br /> Gene.-ator Name Generating Location <br /> ,address ='--418 E. Locke Road Address 12418 E. Locke Road <br /> i:orkeford. CA 95237 Lockeford. CA 95213; <br /> Phone No. n � g - 8 U U <br /> F'T'' Phone No. <br /> BFI Waste Code 4 0 5 I 0 12 1 1 2 9 3 1577 9 1 Containers Type <br /> Description of Waste Quantity Units No. T e D-Drum <br /> 8 <br /> 0 0 0 1 a p 1 ( C-Carton <br /> U 8 - Bag <br /> SOI HAZARDOUS ❑ m F-1 <br /> T -Truck <br /> SOIL P -Pounds <br /> Y-Yards <br /> ❑ m a O-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFA Part 260.10 or any appticabie <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 ansponation according to applicable regulations. <br /> �. C�(i1Drv� AD. Fri•. 1. G <br /> 0 2 1 6 9 3 <br /> Generator Authonied Agent Natne signok6re Shipment Date <br /> TRANSPORTIEW <br /> Truck No. Phone-No.�6 7 o�C� O 510-634-6850 <br /> Dillard Truckinir. Inc v t L ap <br /> Transporter Name. T-h - Driver Name(Print) <br /> Address P. 0. Box 218 Vehicle License NoJState t17 P� 2,33 <br /> Bvron. California 94514 rf �/ <br /> Ver/Incido <br /> tion <br /> I hereby lenity that the above named material was picked up I hehat the above named material was delivered with <br /> at the g orator site listed above. out e destination listed below. <br /> Drivers' ur• Shipment Date DrWw Delivery Oats! <br /> DESTINATIOM <br /> Site Name S.F. I . Vasco Road Landfill Phone No. a 1 0 r..4 4 7 0 4 9 1 <br /> 4001 North Vasco Rd. . Livermore. Ca. 94550 <br /> Address <br /> I hereby certify that the above named materiai has been accepted and to the best of my owie7dge the foregoing is true and accurate. <br /> -:t2 <br /> Nam•of Autnenzed Agent signature Reoeiot Oats <br /> PASS CODE <br /> lam BFIM-n <br /> TRANSPORTER RETAIN <br />