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No 1124721 <br /> 091SY, <br /> $ T . NON-HAZARDOUS SPECIAL WASTE MANIFE% <br /> OYMINQl FERMS'4N1dyST <br /> GENERATOR <br /> Generator Name UNOCAL MArkatilag Generating Location <br /> Address Address <br /> Phone No Phone No �— <br /> Containers Type <br /> BFI Waste CodeI 1 0 1 2 1= 16 14 11 D- Drum <br /> Descrt tion of Waste Quantity Units Nom, nB <br /> C .Cartc <br /> �l n 11_�I� I -Sag <br /> I30N HAZARDOUS SOILEl El <br /> T -'fru n, <br /> P •Pourn <br /> Y Yardt <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any IVP&*ble <br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, hasi been properly described, <br /> classified and packaged, and is In proper condition for transportation according to applicable regulations <br /> [3eneralw Authodw4 AgenrName Stgnature Shipment Dari <br /> r ' <br /> )Ruck No. Phone No (510 634-6850 <br /> -l alb wy ` T <br /> Transporter Name Dillard Trucking, Inc. 1432/63 Driver Name(Print) QO4A ( <br /> 'SR(Sso� <br /> Address P.O. Box 218 Vehicle License No/State <br /> Byron, CA 94514 Vehicle Certification <br /> .I h�Ir9by certify that the above named material was picked up I hereby certify that the above named material was delivered wli <br /> `fit the <br /> go eratdr aIle I}stud e. out iLdenttoe des nation listed ow <br /> S A � <br /> RdvqK OnE1tu10 r �""►�� <br /> 8hipmsnt Date Driver pellwry to <br /> DESTINATION <br /> Site Name S.F.I. Vasco Rd. Landfill Phone No <br /> Addre <br /> ss 6001 Porth Vasco,goad, Livermore, CA 94550 <br /> `•-I hereby certify that the above (lamed material has been accepted and to the best of my knowledge the foregoing Is true and accurat <br /> i a�tun�! •� ecek Date <br /> of Authortzed ent <br /> PASS CODE <br /> SFI20a7, <br /> TRANSPORTER RETAIN <br />