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.". <br /> v 4 No. <br /> i1_ �016 <br /> Q . <br /> ' <br /> BROWNING-FERRIS I0URISNON-I--r- r,l- tvOUS jrCi,ItiL v . .;STE MANIFEST <br /> ,Ieneinor Name Generating Location <br /> ,address 13118 E. Locke Road ,address 12118 E. Locke Road <br /> Lorre>:urd . CA 95237 Lorkeiord . CA 95237 <br /> Phone No. l — I I , Phone No. <br /> 6F1 Waste Code C 4 0 5 F0727 1 2 19 1 3 f 4 9 9 1 9 1 1 j Containers Type <br /> Description of Waste Quantity Units No. Ty D-Drum <br /> 0 l 8 0 u l F 7 1 0 C-Carton <br /> u 8-Bag <br /> NON HAZARDOUS T -Truck <br /> SOIL <br /> ❑ P -Pounds <br /> Y-Yards <br /> 4 O-Other <br /> F7 7 <br /> 1 hereby certify that the above named material does not contain free liquid as defined by 410 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 law, has been properly described, <br /> classified and packaged, and is in proper condition f :--1frtLnspartation according to applicable regulations. <br /> �> C�� r✓ Gt 1lr' ,P; 0 2 1 8 9 3 <br /> Generator Authorized Agent Name sionaturs Shipment Date <br /> Y310-634-6850 <br /> Truck No. r0 Phone No. <br /> Dillard Truckin . Inc' �9 0 0 r <br /> Transporter Name Job 02. _ Driver Name(Print) <br /> Address A 0 Boy 21$ Vehicle Ucense NoJState �rD �� �� <br /> Bvron. California 94514 <br /> Vehicle Certification ��' <br /> I hereby certify that the above named material was picked up I hereby c that the above named material was delivered with- <br /> at the generator site listed above. . � out incid o the destination listed below. <br /> 0 2 1 <br /> Drier Sig ure Shipment Dais W9np(ura DeRwry Date <br /> DESTINATION <br /> Site Name B.F. I . Vasco Road Landfill Phone No. Fa _1 0]_j 4 4 1 7 D 14- 19 1 1 <br /> 4001 North Pasco Rd. . Livermore. Ca. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the bes- y knowledge e / ng is true and accurate <br /> KI-7 17 <br /> Name or Awhontrd Ad*nt Sionature / H—MOr Oats <br /> V <br /> i ^\ <br /> PASS CODE <br /> L <br /> 10108 SF126o-72C <br /> TRANSPORTER RETAIN <br />