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w No 1124737_, <br /> TM <br /> B ��FERpStIiJD NON-HAZARDOUS SPECIAL WASTE MANIFES <br /> GENERATOR <br /> M <br /> r .y <br /> Generator Name UNOCAL Market Ina Generating Location UNOCAL Station 06348 <br /> Address P.O. Box 5155 Address 3788 Tracy Blvd <br /> San Raaran, CA 94583 Tracy, CA _ <br /> Phone N4 s 1 0 2 7 7 2 3 6 8 Phone No <br /> .8F1 Waste Code C A 4 1 0 1 5 1 =01 2 6 9 3 b k 1 6 3 Containers Type <br /> Desch tion of Waste Quandt Units No Type C- arum <br /> rn C- Cartc <br /> xF�r 0 t? t) 1 1 8 i=- T B - Bag <br /> ZARDOUS SOIL <br /> T - TrucE <br /> �. <br /> ElD P Poun <br /> Y -Yard <br /> O.Othe <br /> _ f hereby certlfy-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 a#defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and Is in proper cpndrtlon for transportation according to applicable regulations <br /> O <br /> QenereW Authortzad.AiPM Name Signat re Shipment Date <br /> TRANSPORTER <br /> i ' rckNo-+ A 1 Phone No (510) 634-6830 <br /> Transporter Name Dillard Trucking, Inc. 1432/65 Driver Name (Print) r <br /> - <br /> Address P.O. Boat: 218 Vehicle License No 1�e� -S <br /> Byroat CA 94514 Vehicle Certification <br /> hereby lfklt above named material was picked up I hereby certity that the above named material was delivered w <br /> -,gat the a WW 4b4ve out Incld ro the destination listed below <br /> -0 ' ,� <br /> Shipment Rata D Signature <br /> Delivery Data <br /> DESTINATION <br /> .R� <br /> �31te Name B.F.I. Vasco Rd. Landfill Phone No 4 7 0 4 9 <br /> "fr�l�drass 4001 'aoarth Pasco Road, Livsraore, CA 94550 <br /> fXterabycertify that1he-above named material has been accepted and to the beat of my k wiedge the foregoing Is true and accurE <br /> 'R <br /> Warne-of Aulhortzed 8gani signAture Fiecal <br /> PASS CODE <br /> BF12p0. <br />