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r <br /> Waste No <br /> Systems NON-H�AR.�0US SFaCIAL_ ti . STE MANIFEST <br /> ROWNING-FERRIS INDUSTRIES <br /> • <br /> I ' f�CAL ` , rk�1_i u ` ^ _ t -ci ''F3--3 <br /> generator Name Generating Location <br /> address P. 0. Bo-. 5155 Address 3788 Tracy Blvd. <br /> Sa Ramon, Ca- 94583 Tracv, CA <br /> r <br />'hone No 5 1 o 2 71 71 2 3 " 1 8 Phone No <br /> lF1 Waste Code E= 0 2 0 2 9 3 5 3 4 0 2 1 Containers Type <br /> ,s Description of Waste Quantity Units No - T pe 0 - arum <br /> C- Carton <br /> T B - Bag <br /> Hien Hazardous Soil � ❑ T -Truck <br /> El ❑ P - Pounds <br /> Y -Yards <br /> El <br /> m 1:1 <br /> O- Other <br /> I hereby certify that the above named matenal 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 desenbed, <br /> classified and//packaged, and is In proper condition for transportation according to applicable regulations <br /> y 9 <br /> wwator Authorised Agent Name Slgnaft" IV - _ Shipment Date <br />,NOW <br /> ,,,:' 510-634-685U <br />-ruck No Phone No <br /> Dillard Trucking, Inc. 1431/93 _f <br />'ransporter Name DillardDriver Name(Pant) <br /> address P. 0. Box 218 Vehicle License NoJState 4,L.=7 <br /> � /Z <br /> Byon, California 94544 <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 /> it the generator site listed above out incident to the destination listed below <br /> Muer Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br />;its Name B.F.I. Vasco Road Landfill Phone NoM:1 1 0 _ 4 + 7 0 4 9 1 <br /> 4001 North Vasco Rd., Livermore, Ca. 4550 <br /> address <br /> hereby certify that the above named material has been accepted and to the best of wedge th or is true and accurate. <br /> 1!��L/ r 2 <br /> of Authorized A nt S natureReeefot DaLl � <br /> PASS CODE <br /> I W88 SF1260.720 <br /> TRANSPORTER RETAIN <br />