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Waste No. s 512 5 _, <br /> NIN �ySU TRI ° ` NUN-HAZARDOUS SPECIAL WASTE MANIFEST <br /> i 411 <br /> BROWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> I <br /> Generator Name Santa Fe Railway CompnaI Generating Locationersey Island <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. �— <br /> BFI Waste Code M P T Containers Type <br /> Descri tion of Waste Quantity Units No T D-Drum <br /> 0 0 1 0 1 2 1 0 y p C -Carton <br /> B- Bag <br /> PAL <br /> CONSTRUCTIOF DEMO LUMBERm T -Truck <br /> S r�C /A 4L 6-1 7"c G✓ /T-�/ �zP- Pounds <br /> ��U Y-Yards <br /> El m F 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, isof a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and ackaged, and is in proper condition for transportation according to applicable regulations. <br /> Generator Authorized Agent Name Signature Shipment Date <br /> �I510-634-6850 <br /> Truck No. Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/i Driver Name(Print) <br /> Address P. o. Box 218 Vehicle License NoJState . -?A.) <br /> Byron, California 94544 �� �' <br /> Vehicle Certification <br /> 1 hereby certify that the above named material was picked up 1 hereby pertifythat the above named material was delivered with- <br /> at the generator site Ii 1 ebove.� 4Signa�t <br /> o destinati n listed below. <br /> a <br /> Driver Sgnatur Shipment Date Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. [=O — 4 4 7 0 14F9 1 <br /> Address 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> 1 hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> Name of Authorized Anent S gnature CA <br /> Receipt Date <br /> PASS CADE <br /> 10186 <br /> BF1260-n0 <br /> TRANS F r,TEf, RL7 <br />