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VViCUO&V too. J ! J b <br /> �• �"��` NOlv- - <br /> � „ :?ARDOUS SPECIAL v <br /> BROWNING-FERRIS INDUSTRIES vASTc MANIFEST <br /> to <br /> Gener'Itor Name Generating Location <br /> Address 12412 E. Lonkc [toad Address 12413 C. Lockc Road <br /> Lorizcford. CA D^237 Lcr.i-efurl; . C,a 9;237 <br /> 1 9 — 8 I . n <br /> Phone No. Phone No. <br /> BFi Waste Code 0 A i 0 5 0 '- 1 2 9 3 4 9 9 9 1 Containers Type <br /> Description of Waste Quantity Units No, T e D-Drum <br /> 0 0 0 1 8 0 1 T C-Carton <br /> B-Bag <br /> ?SON HAZARDOUS T-Truck <br /> SOIL ❑ m ❑ P-Pounds <br /> Y-Yards <br /> El <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 applicabie <br /> state law,.is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been property descnbed, <br /> classified and packaged, and is in proper condition for trans nation according to applicable regulations. <br /> Genwator AU9XX red Agent Name signeWr• Shoment Date <br /> TRANSPORTEW <br /> 510-634-6850 <br /> Truck No: Phone No <br /> Dillard Truckine. Inc. �7 <br /> Transporter Name Tri►+ =ln9 l�) Driver Name(Print) -- dBL�.tT Or✓G�5 <br /> Address P. 0. Box 218 Vehicle.license NolState -- <br /> 8vron. California 94514 <br /> Vehicle Certification „ <br /> I hereby certify that the above named material was picked up I hereby cenity that th"bovj named material was,delivered with- <br /> at the g rator site list ve. out in ' t e esdnatio listed below. <br /> r <br /> /. , <br /> Driver signatore swPaw m oat. orivr 5ignaeur• Dew.ry pate <br /> 13ESTINATION <br /> Site Name B.F. I. Vasco Road Landfill Phone No. 1 0 — <br /> 4001 North Vasco Rd. . Livermore. Ca. 94550 <br /> Address ` <br /> I hereby certity that the above named material has been accepted and-to the best of my nowiedge the foregoing Is true and accurate. <br /> Name of Aulhanzed Agent Si n�tur� ,pl 1� <br /> PASS CODE <br /> Tone BF1260-72 <br /> TRA..NSPORTER RETAIN <br />