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.Waste No q 51 ? 1. 7 <br /> Sj rtems TM <br /> RQWNlNG-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> �'�cCAL �larketar& LItOCAL Station <br /> tenerator Name Generating Location <br /> address <br /> P. 0. Box 5135 Address 3788 Tracy Blvd. <br /> San Ramon, Ca. 94583 Tracy, CA r <br /> 1 <br /> 5 0 — 2 7 i 2 3 6 8 <br />'hone No Phone No <br /> Containers <br /> IFI Waste Code C A 4 S 0 2 0 2 9 3 5 3 y 0 2 D-Dr�ttm <br /> Description of Waste Ouantt U® ® ff I C-Carton <br /> B - Bag <br /> Non Hazardous Soil T -Truck <br /> m ❑ Y-Yards <br /> � <br /> FEl 0 <br /> -Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 26010 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 /> A-4107 �� O L S `/ � <br /> kwaim&ff"twd Agartt Name Sipnatwr 'OF ShoffWd Date <br /> TRANSPORTER <br /> p 510-534-6850 <br /> Truck No S %—"2rV f) Phone Na <br /> Dillard Trucking, Inc. 1431/93 <br /> Transporter Name Driver Name(Print) <br /> Address P. o. Box 218 Vehicle License No.lState L k2 4P/(0 <br /> Byon, California 94544 <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up I hereby ce that the above named material was delivered with- <br /> at the nerator site listed above out inciden the destination listed below <br /> re Shipt>•rM Da1� Driver SiQnauua Da v"Dau <br /> DESTINATION <br /> B.F.I. Vasco Road landfill 5 1 0 4 4 7 0 4 9 1 <br /> Site Name Phone No <br /> 4001 Borth Vasco Rd., Livermore, Ca. 4550 t <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the fore s ttie and accurate <br /> kIWof Authorized 6Znt signature Die <br /> PASS CODE <br /> SR1250.720 <br /> 10/1% / <br /> TRANSPORTER RETAIN <br />