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� Waste No 9 515 5 5 <br /> S; Stet"Y1S TM <br /> OWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> nerator Name VOCAL Markey_, � Generating Location <br />'dress P. 0. Box 5155 Address 3788 Tracv Blvd. <br /> San Ramon, Ca- 94583 Tracv, C4 <br /> one No ' I Q — z 7 1 2 3 GE Phone No <br /> I Waste Code 0 '- 0 5 3 4 0 2 Containers Type <br /> Description of Waste Chianti Units No T pe D- Drum <br /> C - Carton <br /> F 0 T B - Bag <br /> Ivor Hazardous Soil T -Truck <br /> 1= Elm ❑ P - Pounds <br /> L�.J 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 properly descnbed, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations <br /> nerator Authorized Agent Name Signature Shrpment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> uck No Phone No <br /> ansporter Name <br /> Dillard Trucking, Inc. 1431/93 Driver Name (Print) �<IF 1I U jq_ jjA 1 F— <br /> P P. O. Box 218 �r 0 6 ri Pi <br />!dress Vehicle License NoJState <br /> Byon, California 94544 U O Ft Z <br /> Vehicle Certfication <br /> iereby certify that the above named matenal was picked up I hereby certify that the above named matenal was delivered with- <br /> the generator site listed above out incident to the destination listed below <br /> 2— 1'7 1� I ,/)6 <br /> ver Signature Shgxnent Date Driver Signature - Deinery Date <br /> DESTINATION <br /> to Name B.F.I. Vasco Road Landfill Phone No 1 0 —14 4 7 0 - 9 1 1 <br /> 4001 Borth Vasco Rd. , Livermore, Ca. 4550 <br /> 3dress <br /> iereby certify that the above named matenal has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> Authonzed Agent Si nature Re+:erot Date <br /> PASS CODE <br />!88 t BF1280-720 <br /> TRANSPORTER RETAIN <br />