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h <br /> r Waste No 9 515 S 7 <br /> Systems TM <br /> DOWNING-FERRIS INDUSTRIES ES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> ES <br /> GENERATOR <br /> s�` r i \��=5 4. C k 3 t <br /> enerator Name ` `"`` Generating Location - <br /> Jdress p. 0 Box 5155 Address 3788 Tracy Blvd. <br /> San Ramon, Ca. 9583 Trac% , CA <br /> hone No ' i 0 — 3 b $ Phone No � <br /> FI Waste Code 15 3 1. 0 2 Containers Type <br /> Description of Waste Quanti Units No Type 0 -Drum <br /> C-Carton <br /> u T 8 - Sag <br /> ?von Hazardous Soil T -Truck <br /> El Q� ❑ Y-�d"ds <br /> El ❑ O-Other <br /> El I I 1 :11-1 <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CPR Part 260W10 or any appitcable <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 in proper condition for transportation according to applicable regulations <br /> FO' vJO CA L_ o z z -7, 173 , <br /> anerator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> �} 510-634-6850 - <br /> ruck No U Phone No /� <br /> ransporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Pent) ` iLL -- <br /> ddress P. 0. Box 218 Vehicle License NoJState C <br /> Byon, California 9454" ,J <br /> Vehicle Certification ---- <br /> hereby certify that the above named material was picked up i hereby certify that the above named material was delivered with- <br /> t the generator site listed above out Incident to the destination listed below <br /> *jM .GLGL a2U Z Aph '�_. d Zicu. <br /> rarer Signature Shipment Date Diner Signature Delway Date <br /> DESTINATION <br /> Ile NameB.F.I. Vasco Road Landfill Phone Na. 5 1 0 �' �* 7 0 1.= <br /> 4001 North Vasco Rd. , Livermore, Ca. 4550 <br /> address <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 /> Authorized Agent Signature Receipt a <br /> PASS CODE <br /> 0/66 8F12M7M <br /> TRANSPORTER Rr i AIN <br />