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W <br /> Waste No. s . <br /> Sy`temS TM NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWN RR INDUSTRIES <br /> GENERATOR <br /> 1 <br /> Santa Fe Railway COmpuae. Jeraev Island <br /> i Generator Name Generating Location <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 M 2 T I I I ET:I= Containers Type <br /> Description of Waste Quantity Units No. T pe D-Drum <br /> C-Carton <br /> G 0 U j F B -Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> ❑ m ❑ P-Pounds <br /> Y-Yards <br /> ❑ m ❑ O-Other <br /> I hereby certify that the above named 91 erial does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable <br /> state law, is not a hazardous waste asWefined 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 Authorized Agent Name Signature Shipment Date f <br /> TRANSPORTER <br /> 510-634-6850 <br /> Trude No. Phone No. / <br /> Transporter Name <br /> Dillard Trucking, Inc. 279/1 <br /> Driver Name (Print) <br /> , I S� t <br /> Address P• 0. ox 218 Vehicle License NoJState –7/`J � <br /> � <br /> Byro - lifornia 9ZS4ri'_ <br /> Vehicle Certification <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 gen ratSr sR listed above,, out inti estination listed below. <br /> l\ I al / Lsd - - / . jiF <br /> Driver Si ure A Shipment Date D&Ar Si lure "-+yam Delivety Date <br /> DESTINAT!ON <br /> i <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 nowledge the foregoing is true and accurate. <br /> Name of Authorized Agent Signature Receipt Date <br /> PASS CODE <br /> 0/66 <br /> .t <br /> 8F1260 720 <br /> _._ TRANSPORTER R—_TAIN <br />