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Waste No C c: jr- 88 Systems TM INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR _%OCAL Marketing LNOCAL Station 06348 snerator Name Generating Location ldress P. 0. Box 5155 Address 3788 Tracv Blvd. San Ramon, Ca. 94583 Tracy, CA tone No 5 1 0 — 2 7 7 2 3 61:8] Phone No — _ I 1� 9 Waste Code C A � 10 2 Q 2 9 3 5 3 4 4 2 Containers Type Description of Waste Quantity Units No T e D-Drum C-Carton T 8- Sag Non Hazardous Soil ❑ ❑ T -Truck P-Pounds Y,Yards ❑ m ❑ O-Other I hereby certify that the above named material does not contain free liquid as defined by 40 CPR Part 260 10 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 described, classified and packaged, and Is in proper condition for transportation according to applicable regulations r 1j, Ole s r C.- 1Pate•. aerator Autiarmed Agent Name Sgnatus 5 Shtpmew Date TRANSPORTER -I1 (/ - 510-634-6850 Lick No. B Phone No ansporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Pant) iVy idress P. 0. Box 218 Vehtcle License NoMate Byon, California 94344 3aG �� Vehicle Certification_ Hereby certify that thip above named material was picked up I hereby certify that the above named material was delivered with- the Gp6e frator sit fisted above out inc nt to the often bsted below � � o o W Shorant pats - Driver iynature Deanery Date DESTINATION to Name B.F.I. Vasco Road Landfill Phone No 3 i 0 I—a-« 7 0 4 9 _ 4001 North Vasco Rd., Livermore, Ca. 4550 Jdress iereby certify that the above named material has been accepted and to the best of my nowledge the foregoing is true and accurate Authanzed Agent signature Receipt Date t F PASS CODE SIPMOt)-720 TRANSPORTER RETAIN