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,r <br /> • <br /> A. � WasteNo 1124714 <br /> M <br /> RgwN,1,�. R, StQ1'YlS NON-HAZARDOUS SPECIAL WASTE MANIFEE <br /> GENERATOR <br /> Generator Name UNOCAL MarkotGenerating Location UNOCAL Station 06348 <br /> Address P.O. Box 5153 Address 3788 Tracy Blvd <br /> T, <br /> San Ragan, CA 94583 Tracy, CA <br /> Phone No 5 1 1 1 0 — 2 7 7 2 3 6 8 Phone No <br /> I <br /> 13F1�+Vaste Code EA ] 4 1 0 5 11 1 1 0 1 2 1 6 1 9 1 3 1 =1 6 Containers Type <br /> eDrur <br /> scri tion of Waste Cuantit Units No T C-Carl <br /> C -can <br /> ao <br /> NON HAZARDOUS SOIL 0 0 0 1 8 a '� B -Tru <br /> 7 •Truc <br /> ❑ � � P - Pour <br /> Y-Yarc <br /> ❑ � � O-Oft <br /> I hereby certify that the above named material does 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 CFA 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 /> -detterator Authorized Agent Name Signature Shipment flats <br /> TRANSPORTER <br /> Truck No Phone No �5i0) 634-6850 <br /> 1* Dillard Trucking, Inc. 1432/63 <br /> Transporter Name Driver Name(Print) le <br /> - <br /> IC.O. Sox 218 Vehtole License No/State � <br /> Address <br /> Byron, CA 94314 Vehicle Certification <br /> I hereby certify that the above named material was picked up I hereby certify that the above-named material was dehvered ~A <br /> it <br /> the erator site lied out incident to the destination listed below. <br /> f <br /> Driver gnature Shipment Date f aturo • a <br /> 42 <br /> DESTINATICiN <br /> a <br /> B.F..�. Vasco R4. Landfill 5 <br /> Site Name Phone No <br /> Address 4001 North Vasaa Road, Lfveroore, CA 94530 <br /> 1 Hereby certify that the above named material has been accepted and to the beat of my knowledge the foregoing is true and accurf <br /> We of Authorized 6ent Fignaturs Recei t Date <br /> - A PASS CODE <br /> TRANSPORTER RETAIN <br />