Laserfiche WebLink
s <br /> Waste No 951208 <br /> Systems TM <br /> BROWNING-FERRNON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> IS INDUSTRIES <br /> GENERATOR <br /> Generator Name SanLa Fe Railway Company Generating Location rsey Island <br /> Address 740 East Carnegie Road Address Jersev Island CA <br /> Sat: Bernardino, CA 92408 <br /> Phone No. I I I 17171 Phone No. <br /> BFI Waste Code=1 M T I I I I I Containers Type <br /> Description of Waste Quantity Units No. Tvae <br /> D-Drum <br /> I�l� C-Carton <br /> 0 0 0 "' 0 El I! I / I g -Bag <br /> CONSTRUCTION DEMO LLMBER T -Truck <br /> - 1 ❑ m ❑ P -Pounds <br /> Y-Yards <br /> Elm El 1-1 <br /> o-Other <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 described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations. <br /> X — <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> // 510-634-6850 <br /> Truck No. 7 S Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) <br /> Address P. o. sox 218 Vehicle License No./State /--2 � 7 - <br /> Bwvn, California 9r5�tw <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator Re listed above. out incidents-the destination listed below. <br /> Diner Sgnat --�- Shipment Date Drive Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F. 1. :rico Rodes ,_u•,:.ci :i Phone No. ' 1 ^ — ” 0 a , 1 <br /> y�;;il _,oc Li: Vd9CU Rd. , t.,♦'ry-,:�[�, Ca. 9.55 1, <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my-knowledge the foregoing is true and accurate. <br /> 6 <br /> Name of Authorized Agent Signature Ameipt Date <br /> !% PASS CODE <br /> 10/86 BF126U720 <br />