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Waste No 95163i- <br /> Systems <br /> 5163iS]/StemS TM <br /> ROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> generator Name L� :AL ��r3cr c:ng I 'OCAL <br /> Generating Location <br /> ddress P. O. Box 5155 Address 3788 Tracy Blvd. <br /> San Ramon, Ca. 94583 Tracv, CA <br /> hone No =—I 2 7 7 F 2 3 fi 8 <br /> Phone No <br /> FI Waste Code C A 4 G 5110 2 D 2 9 k 5 3 4 0 2 Containers Type <br /> Description of Waste Quante Units No T D.Drum <br /> D f C-Carton <br /> IE B - bag <br /> Non Hazardous Soil T-Truck <br /> mP- Pounds <br /> Y-Yards <br /> EI 7 ❑ m 1:1 <br /> O-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 26810 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 /> aerator Authorized Agent Name- Signature Shipntertt Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> uck Na Phone No. <br /> ansporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Print) ' - <br /> idress P• O. Box 218 Vehicle Ucense NoJState 7 f - L-�� <br /> Ryon, California 94544 <br /> Vehicle Certification <br /> rereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> the generator site listed above out Incident to the destl n listed below ' <br /> C�. �. <br /> ver Sgnature 5hipntertt Data Signature Delivery Date <br /> DESTINATION <br /> to Name B.F.I. Vasco Road Landfill Phone No 5 1 —14 4 7 0 4 1 9 1 <br /> 4001 North Vasco Rd. , Livermore, Ca. 4550 <br /> Idress <br /> ereby certify that the above named material has been accepted and to thebests f m knowledge the foregoing is true and accurate <br /> I V4 <br /> �" 1 <br /> joWuthorized,69ent Shj2ature Receipt date <br /> H <br /> PASS CODE <br /> 86 <br /> BF1260 720 <br /> TRANSPORTER RETAIN <br />