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Waste No <br /> ,ysterr - TM <br /> IROWNING-FERRIS INDUSTRIES 1 ,I0N-HALARDOU�_, SPECIAL WASTE MANIFEST <br /> GENERATOR <br />'enerator Name CC 'L Ufa:kv 1 <br /> Generating Location <br /> lddress P. 0. Box 5153 Address 3788 Tracv Blvd. <br /> San Ramon, Ca. 94583 Tracv, CA <br />'hone No ' 1 ' 7 ' L3 6178 Phone No —1 1 1 1 1 1 1-:1 <br /> 0 Waste Code 1 4 5110 = Q 2 9 3 5 3 4 2 Containers Type <br /> Description of Waste Ouanttt Units No T e 0-Drum <br /> C-Carton <br /> [i] <br /> EFF a T B - Bag <br /> Non Hazardous SortElL� El7 -Truck <br /> FFI P -Pounds <br /> Y-Yards <br /> El I I 1 :1 Ej <br /> m ❑ 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 descnbed, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations <br /> 4 z U 9 � <br /> enerator Authorized AgeM Name - ' Signature Shipment pati► <br /> TRANSPORTER <br /> 510-634-6850 <br /> ruck No y _^. Phone No <br /> ransporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Print)_ /�� �t{%1?S 3 �, <br /> address P. 0. sox 218 Vehicle License NoJState t <br /> Byon, California 94544 <br /> Vehicle Certrficat{on _ <br /> hereby certify that the above named material was picked up I hereby certify that tye above named matenal was delivered with- <br /> It the generator site listed above out incident to the stination listed below <br /> river Signature - - Shipment pate orsei sow1fixe Dobvery Date <br /> DESTINATION <br /> ite Name E.F.I. Vasco Road Landfill Phone No 5 1 0 4 4 7 0 4 19_11:] <br /> 4001 North Vasco Rd., Livermore, Ca. 4550 <br /> address <br /> hereby certify that the above named matenai has been accepted and to the best knowledge the foregoing is true and accurate <br /> Authonzetl Agent Signature Rece Date <br /> PASS CODE <br />)l86 BF1260-720 <br /> TRANSPORTER RETAIN <br />