Laserfiche WebLink
Mvvasie No 951170 <br /> ystems '" <br /> EMS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFE,,i <br /> BRO'vdtc..JG-F <br /> GENERATOR <br /> Generator Name Santa Fe Railwav Compnay Jersev Island <br /> 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 [:I:� M P T E:E= Containers Type <br /> Descri tion of Waste Quantit Units No. T e D-Drum <br /> 0 0 0 y❑ ❑ C-Carton <br /> �J B - Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> ❑ ❑ ❑ P - Pounds <br /> Y-Yards <br /> ❑ FTI 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, 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 AuthorIzed Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> Truck No. - ' Phone No. 510-634-6850 <br /> Transporter Name Dillard Trucking, Inc. 279/1 <br /> � Driver Name (Print) J 't fl'2\� MOA'1 C4S <br /> a <br /> Address P. 0. Box 218 Vehicle License No./State� Z �y '3 257— 7 <br /> Byron, California 94544 ?oO7 CJr-- 5_ <br /> Vehicle Certification J <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 a gener for site listed above. o14t incident to the destination listed below. <br /> Dmer Sgnature Shipment Date �D.,Sgt.. y <br /> Delivery Dale <br /> DESTINATION <br /> Site Name B.F.T. Vasco Road Landfill Phone No. <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"y knowledge the foregoing is true and accurate. <br /> Name of Authorrzetl A ent <br /> Signature /Z Receipt D a <br /> PASS CODE <br /> 10186 <br /> BFl260-720 <br /> TRANSPORTER RETAIN <br />