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0 Waste No. 951172 <br /> e <br /> Systems TM NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> Generator Name Santa Fe Railway Compnay Generating Locationersev Island <br /> Address 740 East Carnegie Road Address Jersev Island, CA <br /> San Bernardino, CA 92408 <br /> Phone Nof]_F�—lI I I ET-1 Phone No. <br /> ype <br /> BFI Waste Code M M P T Containers Tru <br /> Description of Waste Quanti Units No. T D-Drum <br /> 0 0 0 � rl C-Carton <br /> B-Bag <br /> CONSTRUCTION DEMO LUMBER m T -Truck <br /> P- Pounds <br /> Y-Yards <br /> IE] m ET O-Other <br /> 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 packagcd,,and is in proper condition for transportation according to applicable regulations.:. <br /> tl Generator Authorized Agent Name Sgnature Shipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No. . Phone No. <br /> Dillard Trucking, Inc. 279/1 <br /> Transporter Name Driver Name(Print) n���lh✓ <br /> Address P. 0. Box 218 Vehicle License NoJState Alila!91 ' r <br /> Byron, California 94544 <br /> Vehicle Certification <br /> 1 hereby certify that he above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the torsi# listed above. out mcidg4t t the destination listed below. <br /> f / 3 <br /> Sg ure - r Shipment Date a Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No..[=-14 t) — 4 4 7 0 4 9 1 <br /> i <br /> 4001 North Vasco Rd., Livermore, Ga. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the bes f y knowledge the foregoing is true and accurate. <br /> Name of Authorized A ent Si nature Receipt Date <br /> PASS CODE <br /> 10186 eF12M72 <br /> SPORTER PETA.IN <br />