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Waste No. 9 51 a 5 8 -Systems TM BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR Generator Name Sanca Fe Railwav Compnay Generating LocatiA�iersey !shod Address 7LO Rant CArnagSe Road Address Jersey Island. CA San Bernardino, CA 92408 Phone No. �m Phone No. BFI Waste Code E—K—E Containers Type Description of WasteQuantity Units No. T pe D-Drum C-Carton 0 0 0 2 10 FO [/ B -Bag CONSTRUCTION DEMO LUMBER T -Truck li✓/4 S ! Gr/ i t/J �` m P -Pounds Y-Yards E m El -Other i I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations. Generator Authorized Agent Name Signature Shipment Date - TRANSPORTER 1 .:. Truck No. Phone No. 510-634-,6rl850 Transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) Address o_ n_ Rna ?19 Vehicle License No./State Byron, California 94544 - ry��3 Vehicle Certification 3�`�` I hereby certify that the above named material was picked up I hereby certi that the above named material was delivered with- at the gfor s'a I' ed above, out mcide he destination listed below. l / g ignatu Shipment Date ri er Signature Delivery Date DESTINATION Site Name B.F.T. Vasco Road Landfill Phone No. 5 1 0 — 4 4 7 0 4 9 1 III Address 4001 North Vasco Rd., Livermore, Ca. 94550 I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. Name of Authorized Agent S at e / R 'pt Date PASS CODE 10/66 BF1260-720 TRANSPORTER RETAIN