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Waste No 951663 <br /> Systems TM NON-HAZARDOUS i <br /> BRbWNING-FERRIS INDUSTRIES US SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> .1tsC ,i �Sarkrt� �� <br /> 3enerator Name Generating Location <br /> Address P. O. Box 5155 Address 3788 Tracv Blvd. <br /> Sari F ar ott, Ca. 9.4563 Trac-. , CA <br /> Rhone No 1 O — 2 ' 7121 3 Ll 8 Phone No — <br /> BFI Waste Code C a " 4 5 D 2 0 1 9 3 5 3 4 D Containers Type <br /> Description of Waste Quantity Unad No MB <br /> D-Drum <br /> C-Carton <br /> 1 -Bag <br /> Non Hazardous SoilEl ❑ T -Truck <br /> WP-Pounds <br /> Y-Yards <br /> ❑ m ❑ O-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 26010 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 and packaged, and is in proper condition for transportation according to applicable regulations <br /> r ! <br /> 60-A vuo L - oZ 10Z- S <br /> 3enerator Authorized Agem Name signator. shi MMd Daft <br /> TRANSPORTER <br /> truck No ,,� 510-634-6850 <br /> Phone No <br /> Dillard Trucks f 'f <br /> Transporter Name �. Inc. 1431/93 Driver Name (Print) r <br /> Address P. o. Box 218 Vehicle License NoJState - -- - f� 9 <br /> Ryon, California 94544 <br /> Vehicle Certification <br /> hereby certify that the above named material was picked up I hereby certify that the above amed matenal was delivered with. <br /> it the generator site list ' ve out rinint to tIV d n listed below <br /> Signature Shipment Daft nature&5 DWm"Data <br /> DEGTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No [=_14 4 7 0 4 9 T1 <br /> Address 4001 North Vasco Rd., Livermore, Ca. 4550 <br /> R hereby certify that the above named matenal has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> 111JUol Authonzed Agent ftnature P4*W e <br /> PASS CODE <br /> 10M6 SFOSO.720 <br /> TRANSPORTER RETAIN <br />