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i <br /> -" rIn <br /> a ,r •.,, No 1124712 <br /> . of s TM <br /> ,3AOINCIU$T#3( NON-HAZARDOUS SPECIAL WASTE MANIFE: <br /> GENERATOR <br /> - ermtor Name !4!2CAL Marketlna generating Location UNOCAL Station #6348 <br /> at <br /> Add6u— P.O. So STS -- Address 3788 Tracy Blvd <br /> San Ramon, CA 94583 Tracy, CA <br /> Phone No S 1 1 0 — 2 7 7 2 3 6 8 Phone No �^ <br /> BFI Waste Code C A 4 0 S 1 1 0 2 1 6 9 3 6 k 1 1 6 3 Containers Typo <br /> Description of Waste Ouantit Units No T e D- Dru <br /> C-Car <br /> NON SAZA&DOUS soli O O 0 1 8 Lil EY T B - BaG <br /> T -Tru(❑ m ❑ P -Pou <br /> --� � Y -Yan <br /> t 17- Elm ❑ O-Oth <br /> 11 hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicablc <br /> state law, Is not a hazardous waste ep 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 /> enerstorhorJ{a�7jert Name Signet re Shlemgnt Date <br /> a <br /> TRANSPORTER 1h . <br /> Truck No ,�. _ Phone No t5103 634-6850 <br /> 1 <br /> Transportet Name A- ?rucking, Inc. 1432/55�� Driver Name (Print) <br /> Address P.o. Sox 218 Vehicle License No/State <br /> Myron, CA 94514 Vehicle Certification <br /> .A.hereb Obove-named material was picked up I dere t the above named material was delivered w <br /> a gator site lis above Incident to the d tination Hated below <br /> 99 <br /> Shipment Date Driver u Delivery Date <br /> DESTINATiON <br /> S <br /> -Site Name B.F.Y, Vasco lid. Laind#ili Phone No 5 1 0 <br /> ldres3 4001 North Vasco Road. Livermore, CA 94330 <br /> I hereby certify that the ji bove-named material has been accepted and to the best of my knowledge the foregoing Is true and accura <br /> k� t <br /> ~Name of Authorized Agent StanatErt Raeel i Date <br /> PASS CODE <br /> BFI2W7 <br />