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No 1124735 <br /> ems SPECIAL WASTE MANIFE: <br /> BRQWNIN3-FERRIS INDUSTEiIES NON-HAZARDOUS <br /> GENERATOR <br /> Generator Narne , UNOCAL Marketing Generating Location <br /> Address P-Q• Bax 5155 Address 37 8 Tracy stud <br /> r <br /> San Aatoota CA 94583 Trsay. CA -El I FF] <br /> Phone No 5 1 0 2 7 7 2 3 6 8 Phone No <br /> BFI Waste Code C A 4 0 5 1 0 2 6 9 3 b 4 Containers TYP <br /> D- Dru <br /> Description of Waste QuantityUnits No Type C - Car <br /> 0 0 0 1 a �Y B - Bac <br /> NON HAZARDOUS SOIL T -Tru <br /> + P - Pau <br /> m Y - Yar <br /> � ❑ O-Dth <br /> El <br /> I hereby certify that the above named material does not contain free liquid As defined by 40 CFR Part 260 10 or any applicabl <br /> state law, is not a hazardous waste V defined by 40 CFR Part 261 or any applicable state law, has been properly describec <br /> classified and packaged, and is In proper condition for transportation according to applicable regulations <br /> aenerWol Attihorite .J Wt Mune- Signature shipment Date <br /> rTRANSPORTER <br /> Truck NO AW Z4U Phone No (510) 634-6850 <br /> � fanspo>rter !�l8r�t8 Dillard Trucking, Inc. 1432165 Driver Name (Print) <br /> ~ P.O.Address Box 218 Vehicle License No/State <br /> Byron, CA 94514 Vehicle Certification y�y9 <br /> thereby certifyAhat the aborta named material was picked up I hereby certify that tl�e attl�ovq'ti��imed material was delivered 4 <br /> at the generator site listed above out incident to th6 destination listed t alow. <br /> r" <br /> / 5 <br /> D r Slgnatyire Shipment Data Jar43-Ignatur* Delivery Date <br /> DESTINATION <br /> ;Site Name B.F.J. Vasco Rd. Landfill Phone No 5 x 0 <br /> address 4001 Norte Vasco Road, Livermore, CA 94550 <br /> jl-hereby certify that th4p above named material has been accepted and to the best of my knowledge the foregoing is true and accur <br /> .� <br /> � Recei t Data <br /> Name of Authorized Agent Signature <br /> - PASS CODE <br /> � • aF126 <br />