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Waste No. , , r, <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL_ WASTE MANIFEST <br /> GENERATOR <br /> Generator Name Sanka Fe Rail--, Compnav e <br /> Generating Locatitl�l rsev Island <br /> Address- 740 Facer r g ' Rod Address 'erssy Island CA <br /> San Bernardino, CA 92408 <br /> Phone No. <br /> m Phone No. <br /> �I�—n❑— <br /> j BFI Waste Code k k M p ALJ Containers Type <br /> Description of Waste yQuantily Units No. T pe D-Drum <br /> [ED 0 2 0 ❑ 0 / C-Carton <br /> �uJ B-Bag <br /> CONSTRUCTION DEMO LUMBER T-Truck <br /> S�GC ,4L L //fSTf (� rrfi C/t /�ypEITTTI ❑ m ❑ P-Pounds <br /> Y-Yards <br /> ❑ ❑ 11O-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 /> A0611-•c <br /> oanemtor ANhaized Agent Name - Signature <br /> Shipmeht Data <br /> TRANS <br /> �! <br /> ORTER <br /> Truck No. J Phone No. 510-634-6850 <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) <br /> Address— P. o Box 218 Vehicle License NoJState N �0 fi c y7 <br /> Byron. California 94544 <br /> Vehicle Certification f7 <br /> 1 hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator site listed above. out i cident to xhe destination listed below. <br /> Sgnature <br /> Driver Shipment Data D' ignature ' <br /> Delivery Date <br /> DESTINATION <br /> Site Name— R.F-r Va Rod 1 df11t Phone No. — <br /> Address 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> I 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 AOentRace pt Date <br /> PASS CODE <br /> lam <br /> BF1260.720 <br /> TRANSPOr?TER RETAIN <br />