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14 I 'Astw _ No 1124720 <br /> r ' SrµI <br /> FtQ1 -FNON-HAZARDOUS SPECIAL WASTE MANIFEE <br /> i11.Nt�QEF���S11 y�A <br /> GENERATOR <br /> ` - 1 _ - <br /> Generator Name UNOCAL Marketing _—_ Generating Location NTOCAL Station 1§30 <br /> Address P-O- Box 5155 Address 3788 Tracy Blvd <br /> San. Samop, CA} 94583 Tracy, CA <br /> Phone No 5 1 0 — 2 7 7 2 3 1 6T81 Phone No I <br /> BFI Waste Code C A �+ 0 3 1 0 2 b 9 3 6 4 1 b 3 Containers Type <br /> Description of Waste Quantity Units No Type D- Drurt <br /> C-Cart( <br /> NON HAZARDOUS SOIL 0 0 O 1 8 ® B - Bag <br /> T -Trucl <br /> ❑ m a P -Pour <br /> Y - Yard <br /> - ❑ (�`� ❑ O-Othe <br /> I hereby certify that the above named matenardoes 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 /> classified arto packaged, and is In proper condition for transportation according to applicable regulations <br /> C> a. 1 9 <br /> _prr@ratr Auth ,Qgen i+lemr signature Shipmentpate <br /> r TRANSPORTER <br /> A <br /> t <br /> / 310) 634-6850, <br /> _i' J�rick No APhone No <br /> Dillard Trucking. Inc. 1432/65 <br /> TIVisporter Name_. $' .__ Driver Name (Print) A/ Q aSOJ� „ <br /> ,Address N.O. Box 218 Vehicle License No/State ����/ 6 C <br /> _ Byron, CA 94514 <br /> Vehicle Certification '510 /'f'c11 <br /> ,„hereby certify that the above named material was picked up� I hereby certify that the above named material was delivered wi <br /> at the 9 for site-listed above out incident to the destination listed below <br /> ~ t z <br /> r$Ignature " - Shipment Date Dray lgnature Delivery Date <br /> DESTINATION <br /> B.F.i. Vasco Rd. Landfill 3 1 O <br /> Site Name Phoria No — <br /> -Add 4001 North Vasco Road. Livermore. CA 94550 <br /> Aeby 06rtifj►that the above named material has been accepted and to the best of my knowledge the foregoing Is true and accurat <br /> : - r <br /> Name of Authorized Rgent slpnatur A�Dato_ <br /> PASS CODE <br /> 9F12e&7 <br />