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eWaste � No. Q C A n A <br /> Systems TM <br /> ERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING-F <br /> GENERATOR <br /> Generator Name Santa Fe Railway Company Generating Locationersey Island <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 . <br /> Phone No. ��] Phone No. <br /> Eli �— <br /> BFI Waste Code M P T I Containers Type <br /> Description of Waste Quantity Units No. T pe D-Drum <br /> 0 0 0 2 0 y❑ C-Carton <br /> B -Bag <br /> CONSTRUCTION DEMO LUMBER -�r- <br /> (' Qa m T -Truck <br /> R <br /> � CitJ A S�i S` (.�// T<� ��l %-" y.Q P -Pounds <br /> Y-Yards <br /> O-Other <br /> iI 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 /> R 10 / P I <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> j :5= 510-634-6850 <br /> Truck No. <br /> Phone No. <br /> Trans Dillard Trucking, Inc. 279/1 <br /> Poiter Name Driver Name (Print) 1 <br /> Address P. 0. Box 218 Vehicle License No./State <br /> Byron, California 94544 <br /> Vehicle Certification <br /> 1 hereby certi at th bove named material was picked up 1 hereby certify thatthe above named material was delivered will <br /> at the genet, or to ' above. out incident lath"esti on listed below. <br /> l / g <br /> er Signa Shipment Date Drive igna ure Delivery Data <br /> DESTINATION <br /> I <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 1 0 VT <br /> — <br /> Address - <br /> 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> I hereby certify that the above named material has been accepted and to the best of knowledge the foregoing is true and accurate <br /> Name of Authonzed A ent Si nature Receipt Dke <br /> - PASS CODE <br /> 10/85 <br /> BF12GP7. <br /> TRANSPORTER RETAIN <br />