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Waste No. 951196 <br /> Systems '" <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST *", <br /> GENERATOR <br /> Santa Fe Railway Company Jersey Island <br /> Generator Name Generating Location <br /> I <br /> Address 740 East Carnegie Road Address Jersey Island, CA' <br /> San Bernardino, CA 92408 <br /> Phone No. = J I Phone No. �- <br /> BFI Waste Code f�f Containers Type <br /> Description of Waste Quandt Units No. T e D-Drum <br /> 0 0 0 2. 0 C.Canon <br /> LLL��JJ e • Bag <br /> DONS tRUCTION DEMO LUMBER �7 m T ..Truck <br /> . . //4-lr: (j,/.�..5 7G Gi/�/�y �.�f�:/G'� P - Pounds <br /> Y-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, -_,ed;,. <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations. <br /> Generator Authorized Agent Name Signature �, Shipment Data <br /> TRANSPORTER- <br /> Truck No. 37 510-634-6850.Phone No. i <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) <br /> Address P. 0. Box 218 Vehicle License No./State y t ° gZ 4t7q <br /> Byron, California 94544 <br /> - Vehicle Certification <br /> hereby certify that the above named material was picked up 1 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 /> 7r, P� iPr�e� © l 19 9 ! I 9 <br /> Driver Slgne.--e Shipment Date. Dirl r Signature Delivery Data <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill ill Phone No. S 1 0 — 4 4 7 0 4 9 1 <br /> 4001 North Vasco Rd. , Livermore, Ca. 94550 <br /> Address <br /> hereby certify that the above named material has been accepted and to the best knowledge the foregoing is true and accurate. <br /> f <br /> ,ame of Authorized Agent Signature Receipt Date <br /> PASS CODE <br /> 10/86 <br /> BFI2fi0-720 <br /> TRANCPr1RT9ZR RFTAlKI - <br />