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l.i <br /> r <br /> -wade Noi� V <br /> NIN <br /> �Y!tamsnN4N-HAZARDOUS SPECIAL WASTE MANIFEC <br /> BROW O FUSTRIES <br /> GENERATOR <br /> Generator Name UN&AL Marketing Generating Location UNOCAL Station P6348 <br /> Address. P-O• Sam 31x5 - Address 3788 Tracy Blvd <br /> San Ramon, CA 94583 Tracy, CA <br /> Phone No S 1 i 1 O — 2 7 7 2 3 6 8 Phone No <br /> C A 4 O 5 1 0 2 6 9 Containers Typ(3 6 4 1 6 3 <br /> BFI Waste Code <br /> Description of Waste Quantity Units No Tvae D - t)rur <br /> C -Can <br /> NOR HAZARDOUS $OIL <br /> 0 t? 0 1 8 1 B - Bag <br /> T -Tru( <br /> Elm El P - Pou <br /> Y -Yarc <br /> Ll <br /> El <br /> m ❑ O- , <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any appiicabl( <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described <br /> classified and packaged. and Is In proper condition for transportation according to applicable regulations <br /> -generator Authorized•Agent Narne Signature Shipment Date <br /> . . <br /> TER <br /> Truck No Phone No (510) 634-6850 <br /> Dillard Trucking, Inc. 1432165 <br /> Transporter Naive Driver Name (Print) <br /> 4-r-- <br /> Addripss P.O. box 218 Vehicle License No/State Z —.- <br /> 19n. CA- 94514 Vehicte Certification <br /> ...1 Hereby ' t the gbolve named material was picked up I hereby ce fy t at t above named material was delivered v <br /> at the gene r si er It <br /> Address above out 7. ,,>*tination listed below <br /> Driver azure R shipment Date er a Delivery Date <br /> DESTINATION <br /> Site Name B-F".I+. Vasco Rd. Lan fti�' Phone No <br /> 4001 North Vasco Road, Livermore, CA 94550 <br /> I hereby certify that the above named material has been accepted and to the best of my kn ledge the foregoing is true and accur <br /> 2 <br /> . L <br /> Name of Authorized Aaent Signature �ei t Data <br /> PASS CODE <br /> GFIM <br /> - - TDA*1GDhDT1=37_pCTh IAF <br />