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MWaste N� 951652 <br /> Systems TM <br /> OWNING-FERRIS INDUSTRIESNGN-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> �keL It g <br /> merator Name Generating Location <br />!dress P 0. Box 5153 Address 3788 Tracv Blvd. <br /> Sa - Ramon, Ca. 94583 Tracy, CA <br /> lone No ' ti 0 ` 3 6 8 Phone No <br />-I Waste Code C 417175 0 2 0 1 9 3 5 3 4 0 2 1 Containers Type <br /> Description of Waste Quantity Units No Type D - Drum <br /> C- Carton <br /> B • Sag <br /> Non Hazardous SoilEl � ❑ 7 -Truck <br /> P - Pounds <br /> Y -Yards <br /> El <br /> 1:1 <br /> O- Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Past 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 /> classtfied and packaged, and is in proper condition for transportation according to applicable regulations <br /> aerator Authomed Agent Name sguture Shipment Date <br /> TRANSPORTER <br /> r <br /> 510-634-6850 <br /> uck No ' Phone No <br /> ansporter Name Dillard Trucking. Inc. 1431/93 Dnver Name (Print) <br /> idress P. 0. Box 218 Vehicle Ucense No/State f 7"j;Z 0 <br /> Bvon, California 94544 *Y�95' <br /> Vehicle Certification <br /> iereby certify that the above named material was picked up I hereby certify that the a ve named material was delivered wtth- <br /> the a ator site ed above out #nctd h de natio listed below <br /> n..r S Shlpmsnt Data er signature <br /> DESTINATION <br /> Ite Name <br /> B.F•I. Vasco !toad Landf ill Phone No 5 1 0 — w v 7 0 4 9 1 <br /> 4001 North Vasco Rd., Livermore, Ca. 4550 <br /> ddress <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 /> t Autt+onzed Agent Signature Receipt Data <br /> PASS CODE <br /> Ht36 <br /> 13FI260.720 <br /> TRANSPORTER RETAIN <br />