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®'Waste No. 951213 S stems TM BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR Santa Fe Rail.•«av Compaay Jersey Island Generator Name Generating Location Address 740 East Carnegie Road Address Jeasev Island, CA nn San Bernardino. CA 92408 Phone No. ��— Phone No. BFI Waste Code CD_ M P T I I I I 1 11 Containers Type Description of Waste Quantity Units No. C-Carton T D-Drum I O 0 0 "' 0 E] W I / l I B-Bag CONSTRUCTION DF,MO LUMBER ��—Ir-�II ITI —1-•�� T -Truck m El P-Pounds Y-Yards ❑ m ❑ O.Other I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations. Generator Authorized Agent Name Signature Shipment Date TRANSPORTER �i�i-63v-o8's Truck No. �'� Phone No. Dillard Trucking, Inc. 279/1 Transporter Name Driver Name (Print) Address P. 0. Box 218 Vehicle License No./State Byron, Cali Carnia 9.344 Vehicle Certification I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the generator site listed above. out incident to the destination listed below. .rl494- b,.J Driver SignatuT` � Shipment Date -Driver Signature / Delivery Date DESTINATION Site Name "' Phone No. " . O1 Sur Lt, e:,.... Rd. , _r. _. :nc. _, C.. 94S i'. Address I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is-tnie and accurate. r Marne of Authorized Age t Signature i" Receipt Dale j' -• ' PASS CODE 10186 131`1260.72'