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Waeste No 9 516 9 6 <br /> !y0!aMsUNON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> WNiNQIS� IES <br /> GENERATOR <br /> UNOCAL Marketing UNOCAL Station #5348 <br /> Generator Name Generating Location <br /> Address P. 0. sox 5155 Address 37813 Tracy alvd. <br /> San Ramon, Ca. 94583 Tracy, CA <br /> Phone No. ; 0 <br /> 1 — 2 7 8 7 2 3 6 Phone No <br /> BFI Waste Code C A 4 0 5 5 3 4 0 2 Containers Ty—pe <br /> Description of Waste Quanti Units No Tfl <br /> 0- Drum <br /> C -Carton <br /> 0 B - Bag <br /> Hort Hazardous Soil ❑ m ❑ T -Truck <br /> P - Pounds <br /> Y -Yards <br /> ❑ m ❑ O-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 26010 or any applicable <br /> state law, is riot 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 properscondition for transportation according to applicable regulations <br /> 4 <br /> Q <br /> qlphwMr Audxxu:W Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> t 310-634–Cs85 0 <br /> Tack No. Phone No <br /> Transporter Name Dillard Trucking, Inc. 1431/93 Dnver Name(Print) <br /> Addrew p. 0. Sox 218 Vehicle License NoJState 4!2 fa <br /> Ryon, California 94544 4f,/¢ <br /> Vehicle Certfication [•�' <br /> 1 hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the ge rator site listed G. out incl Ont to the destination li below <br /> ` 4WOO" Deirvery Date <br /> shipment Date river <br /> t <br /> Site Name B.F.I. Vasco Road Landfill Phone No J 1 0 -- 4 4 7 0 4 9 1 <br /> 4001 North Vasco Rd. , Livermore, Ca. 4550 <br /> Address <br /> reby certify that the above named material has been accepted and to the best y knowle ge the oing 1s true and accurate <br /> Name of Authonzed Agent Si nature Receipt Dat <br /> PASS CODE <br /> BF1260 720 <br /> i018fi <br />