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- r <br /> �i=P 13 'w1 .u�c� GIi.._rK:):� ;r*��'r:il;(i -':+ u�-•� �7r.._ "} <br /> py�r�yryyy <br /> F 9� �N <br /> G 1l1'� <br /> I. 7.+; <br /> '02093 <br /> Genoracing <br /> t oCatlOnytatiaa <br /> �a9n0'8L01'Name _ rn� _ - <br /> _ Add:7SS - <br /> Addeoas <br /> •_Sea"Flstaso.�Ca: 94442 <br /> Phone Na. Tye: <br /> --� "�- — Cantninars <br /> Pn <br /> twD.:MUM <br /> QUanttt': Unite NO. Type <br /> p:GartOn <br /> BFI Waste Code Waste l u �. B-'�fl <br /> pescriptinn of U 0 0 EDEEE <br /> , <br /> - •� <br /> rucic <br /> P Pourtc� <br /> LfS 54I1. 0• .. Y,Yarda <br /> .10 .pAptf rrP�x. p Odhr+r <br /> tmx,t # E ] <br /> e8ned by 44 CFR P 260:10 W anY e�scdie' <br /> o named matcrial does not contain free llquid`�d .. <br /> hcrratsy cartdy that <br /> the,abs+ 40 CF:R Fart•261 or any`applicable M10 law;hes beon pr PefiY <br /> tis Wh,tb as deliriud by � Ilc•�le regalalions_ .:' <br /> state taw.,is rtot.a hazaidc rt81lOr'acc�srding• app <br /> CtassHied'und R� fid'-and Is in pea r ru td'stlon tar trattsFo . <br /> r � <br /> f/� .' ,...-.-��•f ! 3��•�----^�`�.,. -S Ohl° <br /> 4.:. 4f v7 '� •.µ7`i - <br /> S1ti-63k_F,8S0 <br /> Mne <br /> Truck No. � <br /> Dillard TCUck., .bra• _. Driver Name(Print) -----� <br /> Transporter NameNoJState r���lisf G <br /> Vehkku LlcOnss <br /> Address <br /> Calif0rr►ia..94514, Vehicle Gertificauan <br /> _ I hereby ceNfi;that the atyoua named rnatorisl+mss delivered vet <br /> named material was picked up <br /> I harehy�rrW that the aboveOut incident la the destination <br /> listed below. <br /> al the nerator stte ed'above. �-. <br /> DrIsmJ <br /> 4 .4 7' Q 9 <br /> Phone No. <br /> I ' V f dna i.mRaf it <br /> site Name�-•-- 94850. . <br /> �aB1--tZRf ..�186C0 Rd.. t.r�VCY'�i01C6► �'� ' <br /> Address .-�---- at prrimgMedgethe•f0re9oing '' l <br /> - �r•'amec3�:�'aterlaf#r'as'bestr�� � I <br /> L90— <br /> PASS <br /> rePASS CODE E3Ft <br />