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, Waste No. 9 512 A TM Systems BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR Generator Name Sante Fe Railway Company Generating LOCatlonersey Islari - Address 740 East Carnegie Road Address Jersey Island, -CA San Bernardino, CA 92408 Phone No. Phone No. BFI Waste Code FTq Fm-Fp-[Tl Containers Type Description of WasteQuantity Units No. T�Ee D- Drum 0 0 10 12 10 1Y❑ © ¢ I C-Carton t_J B - Bag CONSTRUCTION DEMO LUMBER '9 � ) L, / , 16 ❑ F ❑ T -Truck (r/v STj W /%L/ GR�` P - Pounds Y -Yards I E m F-1O.Other 1 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, clas, ad and packaged, and is in proper condition for transportation according to applicable regulations. —/ %/C STS/f,' ��`�/ .14-- 101111197rmf Generator Authorized Agent Name Signature Shipment Date r TRANSPORTER 3 9 Truck No. Phone No. 510-694-6850 Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) r��1 Address P. 0. Box 218 Vehicle License No./State__ / 82 Gq Byron, California 94544 e9�Q Vehicle Certificati3O0 ,Z7 on 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 generator site listed above. out incident to the destination listed below. �t 4�nMa o f t C/ 3 o / 9 % Driver Signature Shipment Date Dr.-,Signature Delivery Date DESTINATION Site Name B.F.I. Vasco Road Landfill ` Phone NO. 5 1 0 —4 4 7 0 4 9 1 4001 North Vasco Rd. , Livermore, Ca. 44550 Address I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. i :m,ia ui AwhoAzed Agent Signature Li Receir5t Data PASS CODE 10/86 SF1260-720 TRANSPORTER RETAIN