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'K- <br /> f I�-Y <br /> Y No 1124742 <br /> �~ NON--HAZARDOUS SPECIAL WASTE MANIFE <br /> BRpWNING-FERRIS 1Ne1� <br /> GENERATOR <br /> Generator Name UNOCAL Marketing Generating Location UNOCAL Station # <br /> Address P.O. Box 5155 Address 3:88 Tracy Blvd <br /> San Ramon, CA 94583 _Tracy, CA <br /> Phone No 5 ! 50:1-1 2 1 T 7 2 3 6:[;] Phone No <br /> BFI Waste Code C A 4 0 5 1 0 2 6 4 3 6 1 Containgrs TY L <br /> Description of Waste QuantityUnits No Type D-C -ca <br /> N0N HAZARDOUS SOIL 0 0 0 1 8 B - Ba, <br /> T -Tri, <br /> r ❑ m <br /> El <br /> P - POt <br /> Y -Ya. <br /> - � m ❑ O.Ott <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Pati 260 10 or any applicabl <br /> state law, W not a hazardous waste Ilis defined by 40 CFR Part 261 or any applicable state law, has been property describe( <br /> classified and packaged5 and is In proper condition for transportation according to applicable regulations <br /> Generator Authodzed Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> I (310) 634-6850 <br /> Truck No - Phone No <br /> Transporter Name Dillard Trucking. Inc. 1432/65 Driver Name (Print) l <br /> Address P.O. Box 218 Vehicle License No/State <br /> Byron. CA, 94514YehlCle G' i kation <br /> hereby certify that the aboup named material was picked up If ttereby tprxify ttlat the above named material was delivered � <br /> t the gen site listed above. out incident to the destination listed below <br /> I _ '. <br /> LLIZ <br /> r Shipment Date D r Signature Delivery Date <br /> DESTINATION <br /> Site Name B'�'I• Vasco Rd. Landfill Phone No _ <br /> Address' 4001 io tb Vasco Road. Livermore. CA 94550 <br /> I hereby certify that then above named material has been accepted and to the best of my knowledge the foregoing is true and accur <br /> Name of Authorized Agent Signature Fiecet to <br /> PASS CODE <br /> r <br /> OFk26C <br />