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Waste _ �. <br /> t No <br /> BROWNING-FERRIS INDUSTRIES 'AZ--,. _)JS SPEC" WASTE MANIFEST <br /> GENERATOR <br /> Santa F,r °�ilwa. Cumpnar' 'e L`-1tl "1''°S <br /> Generator Name 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 ❑ T Containers Type <br /> Description of Waste Quantity Units No. T e D-Drum <br /> C-Carton <br /> - 0 0 0 1 8 ❑Y 0 f T B Bag <br /> CONSTRUCTION DEMO LUMBER _ T -Truck <br /> ❑ ❑ ❑ P -Pounds <br /> Y-Yards <br /> ❑ ❑ ❑ o-aver <br /> I hereby certify-that the above named material does not contain free liquid as defined by 40 CFR Part26010 orfnyapplicable. <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 accordinto applicable regulatrons i �" a <br /> TRANSPORTER <br /> 405 A1 ,0*0440,100*_ <br /> n 97636 850 <br /> Phone No." <br /> Inc <br /> ing <br /> Dillard Truck , 279/1" - , <br /> Transporter Name . Driver Name(Pnnt) <br /> Address P. 0. Box 218 Vehicle License NoJState <br /> Byron `Caiifornia 94544 <br /> Vehicle Certification <br /> I hereby th t the above named material was picked up 1 hereby cert'fy that he above named material was delivered with- <br /> at th;&Int I' ed above. out inci otination fisted below. <br /> ature Shipment Data- grwam Delivery Dale - <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road -Landfill Phone No. <br /> 4001 North Vasco Rd., Livermore, C. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of m knowledge the foregoing Is true and accurate. <br /> Name of Authorized Agent Signature Receipt ate <br /> V <br /> PASS CODE <br /> 70186 - EF1260-720 <br /> TRANSPORTER RETA19 _. <br />