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. ®Waste _ _ No. 951193 <br /> S)/StE:RS TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> Generator Name Santa Fe Rai lvay Compnay, Generating LocatiOnerseI Islam <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. <br /> BFI Waste Code LEI M P T Containers Type <br /> Description of Waste QuantityUnits Type u D-Drum <br /> O 0 0 2 0 Y 0 C-Carton <br /> 1�I ' ITI� IFI Ili B -Bag <br /> !11 CONSTRUCTION DEMO LUMBER �LJ—ly E] W ❑ T -Truck <br /> :]7] <br /> I <br /> P . Pounds <br /> Y-Yards <br /> m0-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 GFR 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 Authortzed Agent Name Signature - - Shipment Date . <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No. L�3 Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) <br /> Address P. 0. Box 218 Vehicle License No./State <br /> Byron. California 94544 <br /> Vehicle Certification "?"09 7L..a <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 incid t�the destination listed below. <br /> Driver Signatur - I /Shipment Date Driver Sign tury Delivery Date <br /> I <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 1 0 — 4 4 7 0 4 r9 1 <br /> Address 4001 North Vasco Rd., Livertore, Ca. 94550 <br /> I hereby certify that the above named material has been accepted and to he bes my kno ledge the foregoing is true and accurate. <br /> l / <br /> Name of Authorized Agent <br /> Signature Receipt Date <br /> PASS CODE <br /> 10/88 <br /> BF1260-720 <br /> TRANSPORTER P- Te,lni <br />