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r Waste No. 951230 <br /> f <br /> systems .M NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIES <br /> Jersev Island <br /> Santa Fe Railway Company Generating Location <br /> Generator Name <br /> Address 740 East Carnegie Road <br /> Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. �— Phone No. <br /> ContainersFD <br /> BFI Waste Code M Y T <br /> Description of Waste Quentit Units N0. T c, 0 2 0 El © n <br /> CONSTRUCTION DEMO LUMBERE] m ❑ p -Pounds <br /> ! �/ f, Y-Yards <br /> Elm � 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 statelahasbeen properly described, <br /> classified and packaged, and is in proper condition for transportation according to app regulations. <br /> Si natu Shipment Date <br /> Generator Authorized Agent Name g <br /> TRANSPORTER <br /> �/1+ � �liJ-65w-6850 <br /> Truck No. + ' Phone No. <br /> Dillard Trucking, Inc. 279/1 Driver Name <br /> Transporter Name �- <br /> p. o. Box 218 Vehicle License No./State 7 C 1121,Address . <br /> Byron, .:al iiurnia 9w54w ����� 75- �_ <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 IN gene for site listed above. � t to the destination listed below.1 � <br /> `r <br /> `1 I <br /> 1 Driver Si nature Delivery Date <br /> Driver Signature Shipment Date 9 <br /> DESTINATION <br /> - j , _ 5 i• i <br /> Site Name B'F'I • F rico Rcad land:i i 1 Phone No. <br /> 40i:1 Nor t!-r Vasco f.d. , 1_1 rermc re, Ca. 9455ii <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 /> Receipt Date <br /> '—Name of Authorized Agent <br /> Si nature <br /> PASS CODE <br /> BF1260-720 <br />