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NON-HAZARDOUS <br /> W, ase "Sysf�rx�s No 1124718 <br /> � <br /> BROWNING-FERFHS INDI TPI�S - 'YON-HAZARDOUS SPECIAL WASTE MAN I FE <br /> GENERATOR <br /> Generator Name i NQQAI Marketing Generating Location 063-1.9 <br /> Address -P.O_ box 5155 Address _ '47aA Trac-* a4 ud <br /> San Rsmon,„ CA 94583 _ - , X-acy, CA <br /> Phone No 1 511 01_1 1. Phone No �^ <br /> BFI Waste Code A IJ Containers TYP <br /> DescriptionT e of Waste Duantit B • Bat Units No D- Diu <br /> C - Gar <br /> NONHAZABDOZIS SOIL T -Tru <br /> El 1:1 P - POL <br /> Y -Yar <br /> f - ❑ m ❑ o-otr <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicabl <br /> state law, is not a hamdous waste ft defined by 40 CFR Part 261 or any applicable state law, has been properly describes <br /> classified and packaged, and to In proper condition for transportation according to applicable regulations <br /> V..14UA Io 'l <br /> TRANSPORTER <br /> H - <br /> Truck No - Phone No (510) 634-6830 <br /> IWA40- <br /> Transporter Name Dillard Trucking. Inc. 1432/65 Driver Ni�me(Print) <br /> . •dress <br /> P.O.t, �'� 2111 Vehicle License No/State <br /> Byron, C/t -44314 _ U / ,/ 72. 1/017 9 / <br /> w <br /> - Vehicle-Certification <br /> ' -f h1iraby certlfyatbotlhe slow named material Was picked up' I hereby certify that the above named material was delivered <br /> -et the ge or alto II 01 ve out In t to the des tion listed below <br /> river Slanat�re e - Shipment Do* Driver Signature Delivery Date <br /> _ t <br /> DESTINATION <br /> ;�- <br /> 14.1.X. V*.eco R4. L4ndf i ll 5 1 <br /> ; ��Vame s Phone No �— <br /> �- •Adctrsss <br /> 4001 Worth ftsco-Road, tivarnore, CA 44550 <br /> f hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing Is true and accur <br /> _ Name of Authorized nt S nature Recei t Date <br /> PASS CODE <br /> BFi2! <br />