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i <br /> Waste No. 951212 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Santa Fe Railway Compeq'ay 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, Phone No. ❑ <br /> BFI Wash Code F M p T Containers Type -I <br /> Description of Waste Quantity Units No. T e D-Drum <br /> -- � ❑ ❑ � C•Carton <br /> 0 0 0 2 0 Y 8-Beg <br /> CONSTRUCTION DEMO LUMBER n T-Truck <br /> �,Q. � ❑ ❑ ❑ P.Pounds I <br /> Y-Yards <br /> ❑�❑ ❑ ❑ ❑ o-other I <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 /> 4l 11 a ( t). �trn 6 If e I / <br /> 3onerator Authorized Agent Name SI ature Shipment Date <br /> TRANSPORTER <br /> ` 510-634-6850 <br /> Truck No. � � Phone No. r <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) J <br /> Address P. 0. Box 218 Vehicle License No./State <br /> Byron, California 94544 el 0 <br /> Vehicle Certification O <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 list) above. out incident to the destination listed below. <br /> � } i e <br /> Driver Signature T� Shipment Date DriverSignature Delivery Date <br /> rG <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 1 0 — 4 4 7 0 4 9 1 <br /> 4001 North Vasco Rd. , Livermore, Ca. 94550 <br /> Address <br /> I hereby :ortify that the above named material has been accepted and to the best of my kn>o a the fo oing is true and accurate. <br /> 4 <br /> , <br /> Name of Authorized Agent Signature Fmceipt bath <br /> PASS CODE <br /> 10/88 131`1260-720 <br /> TRANSPORTER RETAIN' <br />