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f <br /> Waste No. 951211 <br /> Systems TM <br /> FERRIS <br /> ERINDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> SS GENERATOR <br /> Generator Name <br /> Santa Fe Railway Compcay Generating Locatidin aersey Islnd <br /> Address 760 Fast Carnetzie Road Address -tersev Island CA <br /> mSan Bernardino, CA 92408 m� <br /> Phone No. IJ—LJ— PhoneNo.N—o.�I LTI IWMI <br /> L—L—L��J Containers2Bag <br /> BFI Waste Code • <br /> Description of Waste Quantic units No. T <br /> U U 0 2 r! El `C1 E I E] <br /> CONSTRUCTION DEMO LUMBER ❑❑ <br /> e <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 /> 1 <br /> Generator Authorized Agent Name Signature Shipmr-•Date <br /> TRANSPORTER <br /> 10-63.1-6850 <br /> Truck No. � Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) <br /> Address P U Box 218 Vehicle License No./State <br /> j' : y r % ` <br /> Evron, California 9454•+ <br /> T <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 site listed above. out incident 0 the destination listed below. <br /> DrWer Signature Shipment Date unver Signature Delivery Date <br /> DESTINATION <br /> Site Name R.F. J. fiasco Road Landif11 Phone Nol 1-1 o _ =4 9 1 <br /> Address <br /> i <br /> I hereby certify that the above named material has been accepted and to the best of my.knowledgelhe-foregoing is true and accurate. <br /> J' <br /> 1 <br /> i' i 7 <br /> Name of Authorized Agent Signature i�/ Receipt Dale <br /> i PASS CODE <br /> 10186 BF1260-720 <br />