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OmlNaste No. 951199 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Santa Fe Railway Compnay Jersey Island <br /> Generator Name Generating Location <br /> Address 740 East Carnegie Road Address^jersey Island, CA <br /> San Bernardino, CA 92408 �r--STI <br /> Phone No. Phone No: t— EII <br /> BFi Waste Code f M F T L �� Containers Type <br /> Description of Waste Quantity Units No. }Type,I D-Drum <br /> E CJ C-Carton <br /> 0 0 0 2 0 Y B .Bag <br /> CONSTRUCTION DEMO LUMBER m T -Truck <br /> J t -Poun' /�L 6_,/AS-7–Z' Ci//Tfi C/PC yv Y-Yards <br /> 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, <br /> class led and packaged, and is in proper condition for transportation according to applicable regulations. <br /> r � 3 <br /> Generator Authorized Agent Name .Signature t$rt:" Shipment Date - <br /> i— TRANSPORTER <br /> Truck No. 0/ Phone No. 510-634-6850 / <br /> franspor. Name Dillard Trucking, Inc. 279/1 Driver Name (Print) f(EGCa/��r CCIAr� v; <br /> Address F. 0. Box 218Vehicle License No./State C/4 U <br /> - Byron, California 94544 <br /> Vehicle Certification _� 6C7 21'3 -7 <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 /> DESTINATION <br /> Site Name B.F.I. Vasco Road. LandfillPhone No. 5 1 0 — k 7 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 of my knowledge the foregoing is true and accurate. <br /> same of Authorized Agent Signature Receipt Crate <br /> V,..: PASS CODE <br /> 0/86 BF1260-720 <br /> TRANSPORTER RETAIN <br />