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e <br /> ;. Waste No 5 51 s <br /> Systems ; NJN-HAZARDOUS SPECIAL EC#AL WASTE MANIFEST <br /> GENERATOR <br /> L%OC„L M4rketxng '_',Or-AL SCaC: z _3�8 <br /> generator Name Generating Location <br /> ddress P. O. Box 5155 Address 3:88 Tracy Blvd. <br /> San Ramon, Ca. 94583 Tracy, CA <br /> hone No =—I 2 ? s q78 <br /> Phone No <br /> FI Waste Code C A 4 0 5 1 5 3 4 0 2 Containers Type <br /> Description of Waste Quanti Units No Type 0- Drum <br /> 0 t { C-Carton <br /> u 8 - Bag <br /> Non Hazardous 5oz1 � T -Truck <br /> El � P -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 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 transportationfaccordin to applicable regulattons <br /> 02 UNOC L /'. lea aa� . .J� o 2- 5 <br /> merator Authorized Agent Name S*nature Shi wom Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> vck No. Phone No <br /> ansporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Print) s <br /> idress P. 0. Box 218 Vehicle license NoJState —L.1 � ���- <br /> Byon, California 94544 (� <br /> Vehicle Certification <br /> 44 <br /> iereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> the gipnerator site listed above out incident to toe destination listed below <br /> t�6 L2 b"k stature t Qata Qrtver Soudure , Delivery Date <br /> DESTINATION <br /> to Name B.F.I. Vasco Road Landfill Phone No. 5 1 0 —14 4 7 0 4 9 1 <br /> 4001 North Vasco Rd., Livermore, Ca. 4550 <br /> 1dress <br /> iereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> Authorized Agont Signature (Jelata <br /> PASS CODE <br /> 66 BF1260-7W <br /> TRANSPORTER RETAIN <br />