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Waste No. 951208 <br /> Systems Tm <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Santa Fe Railway Company Jersey Island <br /> Generator Name Generating Location <br /> Address 740 East Carnegie Road Address Jersey Island CA <br /> (� San Bernardino, CA 92408 <br /> Phone No. LTJ Phone No. L_1_ L_JJ <br /> TypeI <br /> BFI Waste Code LI—_1 M P T Containers D-Drum <br /> Description of Waste Quantity Units �-Tyke C•Carton <br /> 0 0 0 0 Y C :B-Bag <br /> CONSTRUCTION DEMO LUMBER I�'I� T -Truck <br /> /� m El P - Pounds <br /> / Al <br /> /(L',_r_,.� Y-Yards <br /> El m El 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 /> stale 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 /> 41 <br /> Generator Authorized Agent Name IgnaNre Shipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> truck No. Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) <br /> Address P. 0. sox 218 Vehicle License No./State � 1 <br /> Byron, California 94544 <br /> Vehicle Certification �L9 97LZ <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 a listed aboveout incident destination listed below. <br /> 1v93 <br /> Driver Signatul - Shipment Date or Si nature Delivery Date <br /> DESTINATION <br /> Site Name B.P.I. Vasco Road Landfill Phone No. r5 [U0]_14— 4 4 7 0 4 9 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 m fl dge th egoing is true and accurate. <br /> Name of Awhorized Agent Signature Receipt Date <br /> PASS CODE <br /> toree BR260-720 <br /> TRANSPORTER RETAIN <br />