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t Waste No- 951194 <br /> Systems TM <br /> 3ROWNINc =ERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Snta Fe Railway Compaay Jersey Island <br /> a <br /> ztenerator Name Generating Location <br /> lddress 740 East Carnegie Road Address Jersey Island CA <br /> San Bernardino, CA 92408 - <br /> 'hone No �— Phone No. —� <br /> r� Type <br /> I <br /> 3FI Waste Code M T e L Containers D-Drum <br /> Description of Waste Quant it Units No. Type <br /> C-Carton <br /> 0 0 0 2 0 Y B-Beg <br /> CONSTRUCTION DEMO LUMBER /, / // (, T -Truck <br /> 4 7 '�/ 0 1 F-1m El <br /> P -Pounds <br /> �mY -Yards <br /> LAW El m El .Other <br /> 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, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations. <br /> T (/fig <br /> Generator Authorized Agent Name Signature . Shipment Date <br /> TRANSPORTER <br /> C�/ Gi\ .510-634-6850 <br /> truck No. O c../ Phone No. <br /> transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) ��` � �`�'�+A'CO sJN <br /> Address P. o. Box 218 Vehicle License No./State <br /> Byron, California 94544 - - 1 <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 the generator site listed above. out Incident to the destination listed below. <br /> Driver Signature Shipment Date Driver Signature ',;' Delivery Date <br /> his <br /> e • <br /> Site Name B.F.I. Vasco Road Landfill - Phone No. S 1 0 — 4 4 7 0 4 9 1 <br /> 4001 North Vasco Rd.. Livermore, Ca. 94550 <br /> 4ddress <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> 'ame of Authorized Agent Signature Rec ipt D to <br /> - gig PASS CODE <br /> BF1260-720 <br /> TRANSPORTER RETAIN <br />