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s <br /> r' Waste No 9 516 71. <br /> r <br /> SyS ,M TM <br /> OWNING-FeRAIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br />°nerator Name Generating Location <br />(dress P. 0. Box 5155 Address 3798 Trac% Hl�d. <br /> San Rdmon, Ca. 94:83 Tr,-%-. , CA <br /> gone No ' t — i-- - 3 6 8 Phone No <br />-I Waste Code C a u 2 1 0 1 4 5 3 0 2 Containers Tyle <br /> Description of Waste Quantl Units No T e 0 - Drum <br /> C-Carton <br /> FT-F 510 ( T B - Bag <br /> Non Hazardous 5021 T -Truck <br /> 1-77 El El <br /> P - Pounds <br /> Y- Yards <br /> ❑ � ❑ O- Other II <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 property described, <br /> classified and packaged, and is to proper condition for transportation according to applicable regulations <br /> nerator Authonzed Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> uck No Phone No <br /> ansporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Print) e-01/Z— <br /> fdress P. a- Box 218 Vehicle License NoJState <br /> X70 S,� �.� <br /> Syon, California 94544 <br /> Vehicle Certification <br /> iereby certify that the above named material was picked up I hereby cent he above n med matenal was delivered with- <br /> the generator site listed above out tncide o th ti tion sted below <br /> d 0 <br /> 1 -To T" 1, r -1 <br /> ner Signature f' / SMpment Date ature / Delivery Date <br /> DESTINATION <br /> ite Name E.F.I. Vasco Road Landfill Phone No 5 1 0 4 4 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 be my kno ledge the for ndWCc ar to <br /> F2 2 10 V-1 <br /> J _ <br /> }Authorized A ent Tin a t t-xv = / Recewt Date <br /> ' � r <br /> -- PASS icl? ' <br /> V86 BF1260-72o <br /> TRANSPORTER RETAIN <br />