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Waste No 951693 S]/Ste111S T" IOWNINCrFEftRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANif EST GENERATOR 3nerator Name ` NOC-%L Marketing LNOCAL Station 063-8 Generating Location ]dress P. 0. Box 5155 Address 3 788 Tracv Blvd. Satz Ramon, Ca. 94583 Tracy, CA lone No 5 I —1- 21 t 7 ' 3 6"8 Phone No — q Waste Code C A 4 4 5 2 0 2 3 5 L3 -4 0 2 Containers Type Description of Waste Quanta Units No T e D- Drum C- Carton T 9 - Bag Non Hazardous Soil ❑ LJJ ❑ 1• -Ttudc P- Pounds Y-Yards ElEllD- Other I hereby certify that the above named matenal does not contain free liquid as defined by 40 CFR Part 260 1100 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly descnbed, classified and packaged, and is i4 proper condition for transportation according to applicable regulations 01 i O I Z 3 r C/✓J O � � ct.•. morator AudxWL 0 Agent Name Signature shipment Date TRANSPORTER 514-634-6850 ruck No. Phone No. Dillard Trucking, Inc. 1431/93 Driver Name Print ransporter Name � 1 ddress P. o- Box 218 Vehicle l..icense NoJState CT�p:7 :7 a 4 Byon, California 94544 40 ( 4g� Vehicle Certification hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- t the generator site I ed above out Inc ent to the d nation listed below. 1� , aver Slnature Shtpment Date Driver ure Doily"Date DESTINATION lite Name B.F.I. Vasco Road Landfill Phone NO 5 1 0 —14 4 7 0 4 9 I 4001 North Vasco Rd., Livermore. Ca. 4550 lddress hereby certify that the above named material has been accepted and to the be my know) oregomg is true and accurate a Auihonzed Agent Signature R Data✓ PASS CODE BF126Q7= iWe6 TRANSPORTER RETAIN