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6OSystemsTM Waste � ND., 951200 NON-HAZARDOUS:SPE11 CIAL~ WASE- MANIFEST '" BROWNING-FERRIS INDUSTRIES 4• rtA GENERATOR Generator Name Sal;Ca Fe Railway Compwaay Generating Locatiaersey Island;' Address _ . 740 East Carne¢ie Road Address Jersey Island, CA San Bernardino, CA 92408 Phone No. � Phone No. FT7 m — BFI Was;c Code � K ) M P T I I I I Containers Type Description of Waste Quantity Units No. Type D-Drum 0 0 0 2 0 a � � C-Carton I _ CONSTRUCTION DEMO LUMBER LLu� B - Bag T -Truck 1rX1 «L� J m P-Pounds Y-Yards Em F� O.Other .. hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable state iaw, 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. Riff s%6�'rf= .� �. — o i 177 3 3enerator Authorized Agent Name Signature Shipment Date TRANSPORTER truck No. Phone No. 510-634-6850` 1I Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) v IM address P. o. Box 218 Vehicle License No./State- y C Z c3yf�C/4 Byron, California 9454411 Vehicle Certification J hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- t the generator site listed above. out 7incidet to the estination listed below. over Signature Shipment Date or Signature - Delivery Date DESTINATION ;its Name B.F.I. Vasco Road Landfill - Phone No. 5 1 0 — 4 4 7 0 4 9 1 Actress4UU1 North Vasco Rd., Livermore, Ca. 94550 - i hereby certify that the above named material has been accepted and to the best of m nowledge the foregoing is true and accurate. We of Authorized Agent _ _ SI nature Receipt Date j PASS CODE d86 BF1260-720 TRANSPORTER RETAIN