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" Waste No 951226 <br /> "Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Santa Fe Railwav Company Jersey Island <br /> Generator Name Generating Location <br /> Address 740 East: Carnegie Road Address Jersey Island, CA <br /> Sart Bernardino, CA 92408 <br /> Phone No. ETI Phone No. <br /> BFI Waste Code M e T I I I I I I j Containers Type <br /> Description of Waste Quantity Units No. TyyypppBee D-Drum <br /> 0 1i 0 2 E 0 ' C-Carton <br /> B-Bag <br /> EGNSTRLCTION DEMO LUMBER T -Truck <br /> El m El P -Pounds <br /> Y-Yards <br /> El m EIO-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 /> Generator Authc.._ad Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> Truck No. —{ t Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) <br /> Address F. O. Box 218 Vehicle License No./State Cu r` 9 y t"4 <br /> Byron, California 9454~ <br /> Vehicle Certification 7 <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 site listed above. out Incident to the destination listed below. <br /> n <br /> i Z 9 N c r i <br /> Driver Signature Shipment Date Driver Signature Delivery Data <br /> DESTINATION <br /> Site Name .-a= -o Roar Landfill Phone No. ' 1 — " :) 4 9 <br /> ".a c.: 9»55'• <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 /> } <br /> Name of Authorized Agent Signature f Receipt Date <br /> PASS CODE <br /> 10186 BF1260-720 <br />