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, . Nu 9Waste � 1 1 Systems TM ERRNON-HAZARDOUS SPECIAL WASTE MANIFEST BROWNING-FIS INDUSTRIES GENERATOR Santa Fe Railway Colnpiray Jersey Island Generator Name Generating Location Address 740 East Carnegie Road Address Jersey Island, CA San Bernardino, CA 92406 Phone No. Phone No. BFI Waste Code 1 P T I I I I I I Containers Type Description of Waste Quantity units No. T,Y Ee, D-Drum 0 0 0 2 0 Y❑ -F—] U C-B -Baagon CONSTRUCTION DEMO LUMBER T -Truck S pE c i AC ( ✓A S;' Lei rfi C,Qr yo ❑ ❑ ❑ P-Pounds Y-Yards E] ❑ O Other ❑ I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable i state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations. �� SJ✓/= �.� `��ter--- Cl I IS–19 Generator Authorized Agent Name Signature Shipment Date TRANSPORTER . : .._ __... . . .... _. Truck No. Phone No. 510-634-6850 Transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) - Address P. 0. Box 218 Vehicle License No./State X SL! Byron, California 94544 y Vehicle Certification _?x/7,13 I hereby certify that the pbove named material was picked up I hereby certify that he above named material was delivered with- at the ge r s' Ili d above. out incideoM the tination listed below. Drive nature Shipment Date prly raare Delivery Date DESTINATION Site Name B.F.I. Vasco Road Landfill Phone No. 1 5 1 1 1 0 - 4 4 7 0 4 9 1 4001 North Vasco Rd., Live rslore, Ca. 94550 Address I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing Is true and accurate. Name of Authorized Agent Signature Receiet D e PASSCODE 10/86 8F1260-720 TRANSPORTER RETAIN