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Waste 951169 <br /> MSystem.c <br /> IES v� ._,)iJ-HAZAnL)0US c)ECIAL WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTR <br /> GENERATOR <br /> Generator Name Santa Fe Railwav Compnay Generating LOCffiiOtlersev Island <br /> Address 740 East Carnegie Road Address— ie�s y l5laUd CA <br /> San Bernardino, CA 92408 (� <br /> Phone No. T-FTTS = Phone No. —I I I <br /> BFI Waste Code I Containers Type <br /> Description of Waste Quantity Units No. Type D-Drum <br /> C -Carton <br /> I 0 00 10�I 2�II O� Y � g -gag <br /> CONSTRUCTION DEMO LUMBER L� El m ❑ T -TruCk <br /> 14-.S>.E II(�✓/ T</ / P-Pounds <br /> I Y-Yards <br /> I El m � 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 transportatition according to applicable regulations. <br /> an <br /> Generator Authorized Agent Name Signature Shipment Date <br /> yJITRANSPORTER <br /> - 510-634-6850 <br /> Truck No. Phone No. / <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver-Name(Print) Z'' , ' 2!! rte` <br /> Address P. 0. Box 218 Vehicle License No./State <br /> Byron, California 94544 7 <br /> Vehicle Certification L? 9L/ -2 <br /> 1 hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> al the enerator site listed above. out in 'destination listed below. <br /> Driver Sig r -- Shipment Date Dnver S tat rif Delivery Date <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 certify that the above named material has been accepted and to the best f my knowledge the foregoing is true and accurate. <br /> l <br /> Name of Authorized Agent Signature Receiot Defte <br /> PASS CODE <br /> 10/e6 8FI260-720 <br /> t TRANSPORTER RETAIN <br />