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r � <br /> x <br /> No 1124713 <br /> STM NON-HAZARDOUS SPECIAL WASTE MANIFE: <br /> GENERATOR <br /> _ r <br /> I <br /> C,eneratOr NAme L'=AL Marketing_ „ _ Generating Location LajQCaL Station p634A <br /> Address P.O. Box 3135 Address 3788 Tracy Blvd <br /> Sari Ramon CA 94583 Tracy, CA <br /> Phone No 5 1 1 Q — 2 7 712131 6 8 Phone No <br /> BFI Waste Code C A 4 Q 5 1 1 0 21 6 9 3 1 6 4 1 6 3 1 Containers Type <br /> Description of Waste Quandt Units No Type D - Drur <br /> © � C-Can <br /> ATOtII BAZA>RDQiIS SAIL 10 1 <br /> B - Bag <br /> T -Truc <br /> m � P -Pour <br /> Y -Yarc <br /> m01o-oth( <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 /> cla tfled and packaged, and is in proper condition for transportation according to applicable regulations <br /> '- .�' .r.es 'te��•r.rb4 � Q <br /> "4 A�tltgr�gd/��et1LNfte Signature Shipment Date <br /> TRANSPORTER <br /> HTruck No _ .,,..__, .�� Phone No (S10) 634-6650 <br /> Dillard Trucking. Inc. 1432/65 `yTvE pj&r � <br /> Transporter NUM���-- . - -- ,. Driver Name (Print) <br /> i -kddress P.O. Box 218 Vehicle License No/State �r f✓ L/ +^ �� <br /> Syron. CA 94514 Vehicle Certification <br /> 1 hereby certify that the above named material was picked up I hereby certify that the above named material was delivered wi <br /> e eneratorelte listed move out incl n to ft-destination listed low <br /> sv�tFro Si <br /> Q <br /> , <br /> Shipment Date Drive ure <br /> DESTINATIONDelivery to <br /> Site Name R.T.T. Vasco Rd. Landfill Phone No <br /> 'Addrfjss 4001 North Vasco Road, Livermore. CA 94550 <br /> hereDy terdify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accu rat, <br /> _J d 9 <br /> Nems of Authorlied Agent SI nature ecel t Date <br /> PASS CODE <br /> eFr2eoa2 <br /> TAAAISPMPT--ER APTelNt <br />