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wV�aSte No. 951209 <br /> Systems TM NON-HAZARDOUS SPECIAL`WASTE MANIFEST <br /> IOWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> JerseyIeland <br /> :nerator Name sane: Fe Railway Compnay Generating Location <br /> (dress 740 East Carnegie Road Address <br /> Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> hone No. Phone <br /> lNo. <br /> �I�IT1�I <br /> L�—�-J ContainersFBag <br /> FI Waste Code M F T Quantic units y N-foo./ �Type,I <br /> Description of Waste � � L_ i�� LJ <br /> 0 0 0 ' 0 <br /> CONSTRUCTION DEMO}�UPf,BER r--r---�-1� ❑ m ❑ <br /> P-Pounds <br /> V IL I�—LI JI— 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 /> classified and packaged, and is in proper condition for transportation according to applicable regulations. <br /> Q <br /> enerator Authorized Agent Name signature Shipment Date <br /> TRANSPORTER <br /> .t/ 510-634-6850 <br /> Yuck No. /� Phone No. <br /> ransporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) <br /> address F. o. Box 218 Vehicle License NoJState <br /> R �f <br /> Byron, California 94544 _'^�^�f� `^f'/2 <br /> Vehicle Certification / o/�- <br /> hereby certify that the above named material was picked up I hereb at the above named material was delivered with- <br /> it the generator sit above. out in en t the estination listed below. <br /> r . <br /> 9 <br /> over Si atura I Shipment Date ' river gn, ure Delivery Date <br /> DESTINATION <br /> B.F.I. Vasco Road Landfill 5 1 0 —w 7 9 1 <br /> ;ite Name Phone No. <br /> 4001 North Vasco Rd. , Livermore, Ca. 94550 <br /> \ddress <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 /> lame of Authorized Agent Si nature Receipt Date <br /> i <br /> PASS CODE <br /> BF1260-720 <br /> 10186 <br /> TRANSPORTER RETAIN <br />