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d <br /> I ZVaste No 9 016 9 0 <br /> Systems TM <br /> ROWHING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> UNOCAL. 'Marketing NOCA:. Station 46348 <br /> enerator Name Generating Location <br /> ddress P. O. Box 5155 Address 3788 Tracy Blvd. <br /> San Ramon, Ca. 94583 �TrTacy. CA <br /> hone No s 1 O — ' 7 7 2 3 ti 8 Phone No <br /> FI Waste Code C A 0 2 0 2 9 3 5 13_L4 0 2 Containers Type <br /> Description of Waste Quantity Units No TvPe D-Drum <br /> C-Carton <br /> FFF D10 T B- Bag <br /> Mort Hazardous SoilT-Truck <br /> F-1 El <br /> P -Pounds <br /> Y-Yards <br /> 17 1 1 1 :1 El <br /> ❑ O-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 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 for transportation according to applicable regulations. <br /> o 1 z 103 9 <br /> eneratar Authonzed Agent Name Signature Shornerd Date <br /> TRANSPORTER <br /> / 510-634-6850 <br /> ruck No {� Phone No. <br /> rapsPo iter Name Dillard Trucking, Inc. 1431/93 Driver Name(Pnnt) 30 �k&S SS A, <br /> 1 <br /> address P. 0. Box 218 Vehicle License NoJState �- <br /> Byon, California 94544 f <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 /> a the generator site listed above out incident to the odesbriation listed below <br />)river 5"ure Shipment Date Drwer`�ignature G>~ Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No 5 1 0 — 4 1 4 1 7 0-14 1 9 1 1 <br /> 4001 North Vasco Rd. , Livermore. Ca. 4550 <br /> 4ddress <br /> hereby certrfy that the above named material has been accepted and to the best of my owledge the foregoing is true and accurate <br /> AN91 Authornzed Agent Signature � Remat Date <br /> PASS CODE <br /> SF128Q720 <br /> 01M <br /> TRANSPORTER RETAIN <br />