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0 Waste No. 951227 <br /> ' <br /> Systems '" <br /> ERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING-F <br /> GENERATOR <br /> Santa Fe Railway Company Jersev Island <br /> Generator Name Generating Location <br /> Address 740 East Carnegie Road Address Jerre" Island CA <br /> Sart Bernardino, CA 92408 <br /> Phone No. �m Phone No. WJ <br /> BFI Waste Code 4�4 M P T � Containers Type <br /> Description of Waste Quantity101Units n LJ D-Drum <br /> / C-Canon <br /> ype <br /> 0 0 0 2 o B -Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> (2 .; -- , P -Pounds <br /> _ -_� ... �. Lt `f-C') ❑ m V -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 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 Authorized Agent Name Signature Shipment Date <br /> TRANSPORTERNEW <br /> 510-634-6850 <br /> Truck No. Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) �aN'' �D/G/9L-.� <br /> Address P. 0- Bot 218 Vehicle License No./State 22:20 -36 /2/ <br /> Byron, Calitnrn i.a 945.14 <br /> Vehicle Certification ! J <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 /> ff] i' <br /> a � A O 1 <br /> Driver Signature j Shipment Date Dfiver-Signature " ,/ ' Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. fiasco Road Landfill Phone Noll 1 '� <br /> +001 Nurtrn \'asap lid. , LiCe,'TrOL e, Cd- 945iU <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 /> Name of Authorized Agent Signature Receipt Dahi <br /> PASS CODE <br /> 10186 BF1260-720 <br />