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Waste No 9516519 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL VvAS_i E MANIFEST <br /> GENERATOR <br /> Generator Name ` "�` `` rk''`-"� Generating Location <br /> Address P. 0. Box 5155 Address 3788 Tracy Blvd. <br /> San Ramon, Ca. 9•+383 Tracv, CA <br /> Phone No 5 1 0 —L-l_- I [, ' b 8 <br /> .. Phone No <br /> BFI Waste Code C A 4 0 5 0 2 0 1 9 3 S 3 14TO 2 Containers Type <br /> Description of Waste Quanti Units No T e D-Drum <br /> 0 I � C-Carton <br /> - Sag <br /> Non Hazardous Soil B B- Bag <br /> ❑ m Truck <br /> P -Pounds <br /> Y-Yards <br /> F-1 ❑ 0-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CPR 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 and packaged, and is in proper condition for transportation according to applicable regulations <br /> Z o Z <br /> 3enerator Authonzed Agent Name signature Shipment Date <br /> TRANS70RTER <br />'ruck No �Q _ .. ...__ Phone No 510-634-6850 <br /> ransporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Pnn <br /> address P. 0- Box 218 Vehicle License No./State ? <br /> Byon, California 94544 <br /> Vehicle Certification 4g)4 <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered wrth- <br /> t the g$nerator site list above out incident to the destination listed below„ <br />- -�- o a <br /> r S+9 azure Shipment Date Driver Sre <br /> .J Deiirery Date <br /> DESTINATION <br /> ite Name B.F.I. Vasco Road Landfill Phone No 5 1 0 , 4 4 17- 10 4 9 1 <br /> ddress 4001 North Vasco Rd. , Livermore, Ca. 4550 <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing Is true and accurate <br /> Authorized A aril Signature Receipt Date <br /> PASS CODE <br /> il9b BR260-M <br /> TRANSPORTER RETAIN <br />