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Y <br /> T' <br /> !,yaste ; - �' , No 106767-1 <br /> +C�xv7 ° + ` ~'� r r ',;. . Yy � r`">L 'x y M1 3 <br /> . te�ins ,r� ��,. w. � � F ��r�, Fs o ,rte{._ . ._� �.�Es <br /> - 4NlHAZ{ RDQ :JS' S,PCIA �ASE;MA[� F T <br /> ov ;-FERRIS INDUSTRIES r :i4x >tiY"�-. `,{' '4n�!`'s , S.s7rr'+�., ,Fa.l.,; <br /> ' GENERATOR <br /> � r Y ` y�p+•za'ir ... U.r Y r��w'r'< h t S:C��'r r' �_> :. ` y y <br /> 1� �1niGmr 41 vtl sSRRPRR3 A �Lt<aJ � �t� rTf 7Jam` rr{gW� <br /> fne Name A- Generating Loca�ionT., _ <br /> drt '•0• Bo s 81 AsddresS 3!a 2 5 Trac `{Bkl�id y <br /> -ian MaL,_ CA , 94-1 <br /> ti Tracv.. CA F <br /> i' <br /> to rz 4 1 Ffhdne No �, ,�., <br /> I Code �� ' '' G r } r,x Containers Type <br /> 5 0 g 0 2 9 3 6 0 2 0 7 <br /> Desch tion of Waste Quandt Units No Type D- Drum <br /> C-Carton <br /> 0 0 1 0 1 1 8 © ' T B - Bag <br /> ON HAZ, 5- _OUS SOIL T -Truck <br /> ' z <br /> El <br /> m 1:1 <br /> P - Pounds <br /> Y -Yards <br /> El <br /> m ❑ O-Other <br /> ' -by certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable <br /> ,iw, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has,been properly described, <br /> ' died and packaged, and is in proper condition for transportation according to applicable regulations., <br /> <tu1h0rued Agent Name -&hlpmant data, <br /> i R^ti <br /> fc, � � Phone No <•' �510} 634--6�5ip <br /> Trane �r Name _ _ -11ard Ti .,eking; Inc. 103 %/21 Driver Name(Print) f G <br /> 218 ',5 P L�) <br /> Vehicle License No/State <br /> Byrw CA 94514 <br /> Vehicle Certification <br /> R <br /> I _ertify that tt,o above named matdrial was picked up Lhereby certq' that the aboveynamed material was delivered with- <br /> at th ierator site libted ove out incident t ' e d Ilsted Blow _ <br /> atcJ yi <br /> vc ,re Shipment hale Drtfer gnature h - , l7elwory Onto <br /> DESTINATION <br /> t3.F Vasco, Rd. Landfill P.O.#02-10054 Ph9n'e No 5 1' Q — 4 4 1 7=4 9 1 <br /> T �u <br /> 4 <br /> 4001 .x th Vasco Road, Livermore, CA 94550 <br /> l iify that th above named material has been accepted and to the best of my knowledge the foregoing Is true and accurate <br /> i�_, <br /> N zcYd_Ayer i SI yneturc '� Rece I blie <br /> _,PASS CODE <br /> OF1260 720 3193 <br />