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<br /> ruck No ` "�" ' - 1 :Phone No.
<br /> .W ;.Di ]�s `1'te'uck tit � enc. Ib04J21 J
<br /> Transport �Narisg`�wY� '-"�r; �`� `- Driver Name (Pnnt)
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<br /> ir#dt�ss y r k k Vehicle t-icense No/State
<br /> Byron. 514 )
<br /> Vehicle Certification .
<br /> 'hereby certify that the above named material was picked up ~i hereby certify that the above named material was delivered with-
<br /> at the generator site listed above - out incident to the destination listed below
<br /> Driver Signature Shipment Date Driver Signature Delivery Date
<br /> DESTINATION
<br /> tie Name
<br /> B.F.I. Vasco Rd. Landfill r.0.#a2-1Co28 Phone No 5 1 0 '+ 4 17 4 IK
<br /> 9 1
<br /> ddress 001 North Vasco Road, Livermore,Liverore, CA 94550
<br /> ereby certify that the above named material has been accepted and to the be o y knowledge the foregoing is true and accurate,
<br /> Mme of Authorized A nt SI nature Recei D to
<br /> PASS CODE
<br /> 6F1260.720 3/'
<br />
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