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,t <br /> No 1124732 <br /> { r - NON-HAZARDOUS SPECIAL WASTE MAMFE% <br /> +J <br /> GENERATOR <br /> I tini <br /> Generator t*ldmg } It�511-021 AM Generating Location <br /> ,iT�.,ll<OQ� <br /> Addres�s� P.O. Box 5235 -- Address 788 T ac <br /> _ J tV Ramon, CA 94383 ' Trac CA <br /> ., - <br /> Phone No 5 1 0 — 2 7 7 2 3 6 8 Phone No <br /> WPFI Waste Code C �► 4 0 5 1 0 2 6 9 3 b 4 1 3 toontalners Tyr <br /> D- Drt <br /> Description of Waste QuantityUnits No T e C-Ca <br /> 4-1!—, = 11 [;] [DC I3 - Ba <br /> NON H"_MDOUS SOIL T .Trt <br /> El <br /> m ❑ P -Pa <br /> _ Y -Ya <br /> ,r,a ❑ L� <br /> El 0 <br /> Ott <br /> - h6reby certify that the above named material does not contain free liquid as defined by 40 OFR Part 260 10 or any appilcab <br /> state law. Is not a hazardous waste as defined by 40 i0FR Part 261 or any applicable state law, has been property describe <br /> classified and packaged,-and is in proper condition for transportation according to a0plicable regulations. <br /> a a. 9 9 5 <br /> Geney dor Authoriz�ttt Name Signature shipment Date <br /> ,.tTRANSPORTER <br /> (519), 634-6830 <br /> T No. Phone Na <br /> Y' <br /> _Transporter flame Dillard Trucking, Inc. 1432/65 Driver Name (Print) <br /> Address P.O' pox 218 Vehicle License No/State <br /> Byrom, CA 94314 Vehicle Certification <br /> .- <br /> ' er8l yte l ►_t tt > curd rte¢m8teft was,pickel-up I hereby cortify4hat the above named material was delivered <br /> at th - out incident the destlnAtion listed below <br /> uro Shipment Date Driver 1K <br /> ro Delivery Date <br /> ` I <br /> ' B.F.i. tYa{co ltd. Landf iii -Phone N <br /> `Site Name o 5 1 <br /> • 4901 North Vasco &aad. Livermore, CA 94550 <br /> -Address <br /> tITerQby certify jhatlt a abore limed material has been accepted and'to the best of my knowledge the foregoing is tree and accL <br /> t . . <br /> } - <br /> of Authorised Agent signature r " Real • <br /> y <br /> PASS CODE <br />