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r <br /> Waste No 951660 <br /> Systems TM <br /> IQWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> enerator Name �" '� ya`4 e c x�� Generating Location <br /> Jdress P. 0 Box 5155 Address 3788 Tracv Blvd. <br /> San Ramon, ':a . 9++583 Tracv, GA <br /> lone No 5 '- o _1 _ 2] 71 ' 3 61_8j Phone No — <br />=1 Waste Code 0 © 2 0 1 9 3 1 5 3 .: 0 2 1 Containers Type <br /> Description of Waste Quantic Units No T pe 0 - Drum <br /> C - Carton <br /> E 4 f T 8 - Bag <br /> Non Hazardous Soil � T -Truck <br /> El ❑ P - Pounds <br /> Y -Yards <br /> Ef 170-Other <br /> I hereby certify that the above named matenal 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 /> FDS <br /> (J AVOC'A L � � D 1 Z tJ z s <br /> rnerator Authorized Agent Name S+gdature Shipment Date <br /> TRANSPORTER <br /> �^ 510--634-6850 <br /> uck No a5 Phone No <br /> anSporter Name Dillard 'Trucking, Inc. 1431/93 pnygr Name (Pant) <br /> idress P. 0. sox 218 Vehicle License NoJState <br /> Bvon, California 94544 <br /> Vehicle Certification <br /> tereby certify that the above named material was picked up I hereby certify that ove named material was delivered vtnth- <br /> the generator,sae listed above out t crde`nt t destti tion listed below <br /> A 11:11 1 <br /> ver Signature Shipment Date Signature / Delivery Date <br /> DESTINATION <br /> to Name B_F'.I. Vasco Road Landfill Phone No 5 1 0 — 4 4 7 1 0 w 9 1 <br /> idress 4001 North Vasco Rd. , Livermore, Ca. 4550 <br /> tereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> A� 12k <br /> Authorized A ent Signature Reeetot D <br /> PASS CODE <br /> reg BFI260-720 <br /> TRANSPORTER RETAIN <br />