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r No 1124736 <br /> r <br /> _ <br /> �QROWNINO-FERRISll)USTRIES S�► S TM NON-HAZARDOUS SPECIAL WASTE MANIFEE4 <br /> C a t <br /> t, <br /> GENERATOR. <br /> T- <br /> Q nerator Name i]NOCAL Marketing .,.. Generating Location r:unrer. Crsrion 2634a <br /> Address P-0. Sox 5155 Address —3 7,88 Xrsyc a l vd <br /> Sark Raison CA 94583 �� rrracy�CA - — <br /> Phone No 5 1 0 — 2 7 7 2 3 ! 6 I 8 f Phone No <br /> BFI Waste Code C A 4 1 0 1 5 [LO 2 1 6 9 316 14 1 16 ;j 17 Containers Type <br /> Descri tion of Waste Duantlty Units No T e D-Drur <br /> m C -Cart, <br /> NON HAZARDOUS SOIL in in In 11 11 1 � n I � B " Bag <br /> T -Truc <br /> El m 1:1 <br /> P - Pour <br /> Y - Yard <br /> Elm El -Othe <br /> I hereby certify 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 as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> r <br /> classified and packaged, and Is In prolier condition for transportation according to applicable regulations <br /> r <br /> L}�nertpr Authorised/1g�rtt Name Signature Shipment Date <br /> TRANSPORTER <br /> ` Truck No r Phone No (S 10) 634-6850 <br /> Ttartsporter Name Dillard Trucking, Imc. 1432/65 Driver Name (Print) -f y z a/4F46jF <br /> Address P.O. Sox 218 Vehicle License No/State <br /> Byron, CA 94514 Vehicle Certification 2/86 <br /> hereby certify that the above named material was picked up I hereby certify that ttp above named material was dellveretj'wl <br /> at the ganarajo.Afte listed oho out Incident tot a destinati ed be w <br /> o t oaQ <br /> Sig at Shipment Date Driver Signatu Delivery Date <br /> 4l - I w <br /> i a <br /> '+r <br /> DESTINATION <br /> Y c' 8-F'-�. Vasco Rd. Landfill 5 1 l? <br /> ,Site Name Phone No <br /> ' ¢die _ 4001 Worth Vasco Road, Liversore, CA 94550 <br /> raby certify that the abDve named material has been accepted and to the best of my know[e oregoing is true and accuratt <br /> t-Naftof Authorized A ant Signature eeel t Dat <br /> PASS CODE <br /> BF12t10.72 <br /> Tn wwill n/1r-�tirrr. .-.�� <br />