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oSy.Waste No. 951228 <br /> stems TM <br /> FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING- <br /> GENERATOR <br /> Santa Fe Railway Company Jersey Island <br /> Generator Name Generating Location <br /> Address <br /> 740 East Carnegie Road Address Jersey Island, CA <br /> r�San Bernardino, CA 92408 <br /> Phone No. L�J�7� Phone No. <br /> �Y M P T Containers Type <br /> BFI Waste Code Quantit Units No. TTy�e,I D-Drum <br /> Description of Waste L�I C- Bag <br /> F <br /> C. 0 0 Y B Bag <br /> CONSTRUCTION DEMO.LUMBER T -Truck <br /> I I 0 m 0 P-Pounds <br /> Y-Yards <br /> i m 771 Elm ElO-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 beim properly described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations. <br /> r <br /> Generator AuWon ed Agent Name signatureShipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No. <br /> —� Phone No. <br /> � <br /> Transporter Name <br /> Hillard Trucking, Inc. 179/1 Driver Name (Print) <br /> Address <br /> P. 0. Box 218 Vehicle License No./State <br /> Bvron, California 94544 ? I Z <br /> Vehicle Certification i / ' ' <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 generator site listed abov ( out incident tote destination listed below. <br /> � q <br /> / / <br /> Driver Signature Shipment Data Driver Signature Delivery Data <br /> DESTINATION <br /> Site Name S-F. I. Vasco Road Landfill Phone No. �— w <br /> -IJ01 `: rt_h VasCo Rd. , Livermore, Ca. 9y350 <br /> Address <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 Agent Si nature / Receipt Date <br /> PASS CODE <br /> BF1260-720 <br /> 10/86 <br />