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0Waste No. 951210 Systems - BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR Generator Name Banca Fe Railway Comptaay Generating LOCatiOflc r sey island Address 740 Ease CarueAie Road Address Jersey Island, CA San Bernardino, CA 92408 Phone No. -1IL�T`, �ID-� Phone No. FC BFI Waste Code M F TI TTI I I I 1 11 Containers Type Description of Waste Quantity units No.I T e D-Drum C-Carton 0 0 0 2 0 E Y ' B-Bag CONSTRUCTION DEMO LUMBER m T-Truck 1 „ T E P-Pounds -9 Y-Yards El m ElO.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 510-634-6850 Truck No. I Phone No. Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print)_ r, A'ti 1�_' 1 (Ak�C i, P. S Address . 0. Box 218 Vehicle License No./State 3- 5� c S O ? 0 A Byron, California 94544 { Vehicle Certification �G� ' .� J I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the genera r�site-tists(�above. out incident to the destination listed below. i . -- - lzic) 1 -71 17 Driver Signature Shipment Date Driver Signature Delivery Date DESTINATION Site Name B.F. I . G.:,sc,, Road Lond; iii Phone No. a 4 4 9 1 Address 4,)01 .;.;c!'-: Vasco R=d. , Li Ive:mu:e, Cc. 9+:50 I hereby certify that the above named material has been accepted and to the best of,myknowle4e the foregoing is true and accurate. Name of Authorized Agem Signature - ecelpt Date PASS CODE 10/86 BF1260.720