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► VV C10LC No. :+O l L%U �y�L�c� U`' BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE IvIANIFEE GENERA • ifornia Cedar Pro+iur.t.s Generator Name Generating Location a15� rnia t_ car Prarft-t r.r.s Address 12418 E. Locke Road Address 12418 E. Locke Road Lor.keeord . CA 95237 Lor.keford . CA 95237 Phone No. 2 0 9 ._ 9 4 1 4 5 1 3 1 901 I Phone No. — 81711 Waste Code C 4 0 5 0 1 2 1 1 2 9 3 1 4 1 9 1 9 1971 Containers Type Description of Waste Quanti Units No. Type D-Drum 0 0 0 1 8 El 0 1 C-Carton u 8 -Bag NOIN HAZARDOUS T•-Truck SOIL ❑ P -Pounds Y-Yards ❑ � ❑ 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 appiicable state law, has been property described, classified and packaged, and is in proper condition nsportation according to applicable regulations. *ADAC!1� _ '?•��J�' ! �T` 1.� 0 2 1 6 9 3 Gen•retor Authorized Agent Name : :;Slgnaturs v,.. Shkxnent Date TRANSPORTER 510-634-6850 Truck No. _ .. :;., 'Phone-No r:.. Dillard Trackintr. Inc. Transporter Name _Inh inc Transporter Driver Name (Print) Address P 0. Box 218 : Vehicle License NoJState .12 rVS� Byron. California 94514 r: O 7r,1Z' Vehicle Certification I hereby cep% sZiled the above named material was picked up +: . I hereby certify that.the above named material was delivered with at the gen7r o sabove. out incident to the destination listed below. . 0 2 1 1 6 9 3 D L .? 4-7 Drt+wr Slgn7uurex shlpment Dam- Dflvw Si stun Qelfvey oe1s- DESTINATIOW., Site Name B.F. I. Vasco Road Laiidf ill phone No. 0 1 1 0 — 4 a 7 0 4 9. 1 4001 North Vasco.-Rd. . Livermore. Ca-- 94550 Address I hereby certify that the above named material has been accepted and to the best of myjynowledge the foregoing is true and accurate. Nam*of Authonzed Agent S nature /. Recent Dzte PASS CODE 50168 aFI260.75 T RANSPORTER RETAI;