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-' <br /> +' Waste No 1124717 <br /> SOhnn4emTM <br /> -HAZARD ATE MANIFE <br /> eRowNiN6_FSR,�iSac�n3uWU sTl�s NON-HAZARDOUS SPECIAL WASTE <br /> O. <br /> Generator Name IWOCAL Marketing Generating Location UNOCAL station 66348 <br /> Address p•0• Box 5155 Address 3788 Tracy Blvd <br /> San Ramon, CA 94583 TracX, CA <br /> Phone No = 2 7 7 2 3 b 8 Phone No El <br /> BFi Waste Code C A 4 O S 1 0 2 6 9 3 6 4 1 5 3 Containers Tyi <br /> Description of Waste Quantity Units No T e D-On <br /> C - Ce <br /> LOON HAZARDOUS SOIL 0 0 O I 8 T 13 -138 <br /> ❑ m � Y -Tri <br /> p -Po <br /> Y -Ya <br /> 0m ❑ 4-Ot <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any appiicab <br /> state law, Is;�pt a hazardous waste $is defined by 40 CPR Part 261 or any applicable state law, has been properly descrfbe <br /> _w -clo$igod,arid vakaged.and is in proper condition for transportation according to applicable regulations <br /> Qanerator Aut(wstzezi sat Marne Signature shipment vete <br /> r, <br /> TRANSPORTER <br /> Truck No � Phone No LSIa) 634-5854 <br /> Transporter~f$m@ Dillard Trucking, Inc. 1432/65 Driver Name (Print) <br /> Y� - <br /> Address t 'P•D. 8ax 218 Veh1cloL1cbrite-'l) jState Gll- ! Z <br /> Byrota, CA 94314 i- 0 Z cmc! <br /> Vehicle Certifico°or�- <br /> I hereby certify th8t the above•named material was picked up I here erttfy that the above named material was delivered <br /> at the gene site listed itfb4ve out4hcident to the destination listed below <br /> ' Signature _ . Shipment Date er 5igrutu a oefivery Data <br /> r <br /> DESTINATION <br /> " S.F.I. VAsca Rd. Landfill 5 1 0 <br /> Site Name Phone No <br /> ddreS9 41301 north Vasco Road, Livermore, CA 94550 <br /> s , <br /> ?I hereby certify that I*above named material has been accepted and to the best of my knowledge the foregoing is true and Accu <br /> r <br /> Name of Authortz_ed- Qent Signature R slpt <br /> PASS CODE -- - <br />