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OIll Waste No. 951175 <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 <br /> I <br /> Phone No. Phone No. � FTI <br /> BFI Waste Code M e T I Containers Type <br /> _ <br /> Description of Waste Quantity Units No. rT�e D-Drum <br /> 0 0 0 31 Y❑ � Ir C-Carton <br /> TTIITTTT I� B -Bag <br /> CONSTRUCTION DEMO LUMBER L� m ElL�O- <br /> T -Truck <br /> ounds <br /> ards <br /> E] m ther <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 /> classified and packaged, and is in proper condition for transportation according to applicable regulations. <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> r/ <br /> Truck No. �Q Phone No. 510-634-6850 <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) T2""y SOGf071 <br /> Address P. o. Box 218 Vehicle License No./State* <br /> Byron, California 94544 <br /> Vehicle Certification J / <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> .t the generator site listed.algWo.,._. ._.. — -- out incident to the destination listed,below. <br /> 1 z21i i f123 �r`s9 � <br /> ]river Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F .I. Vasco Road Landfill - Phone No. 5 1 0 —14 4 7 0 4 9 1 <br /> Address 4001 North Vasco Rd. , Livermore, Ca. 94550 <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> Jame of Authorized Agent Signature Receip Date <br /> PASS CODE <br /> 0/86 =q BF1260.720 <br /> 14a. <br /> TRANSPORTER RETAIN <br />