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OWaste No. 95 11 x 4 <br /> Systems TM NON-HAZARDOUS SrcCIAL WASTE MANIFE'ST <br /> BROWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> Generator Name Santa Fe Railway Crmpnay Generating Locatidn rsey Island <br /> Adder 740 Sant Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. —�� Phone No. TTI <br /> BFI Waste Code [:D M P T I I I I TT 71 � Containers Type <br /> Description of Waste Quant U© No. T D-Drum <br /> C-Carton <br /> 0 O 0 2 0 g. Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> n ❑ m ❑ P -Pounds <br /> SPEC /�(l G./,4S iC G✓i T/,� ��c /'` Y-Yards <br /> 'V ❑ m ❑ o•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 been properly described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations.ra <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No. — Phone No. 1! <br /> Transporter Name Driver Name (Print) 6 Dillard Trucking, Inc. 279!1 2A�Li' <br /> Address P. 0. Box 219 Vehicle License NoJState <br /> Byron, California 94544 <br /> Vehicle Certification <br /> I her <br /> fcethatt above named material was picked up I hereby ce 'fy that the above named material was delivered with <br /> at the g sfi sled above. out inci o It stination listed below. <br /> D Igna i Shipment Date D' r SoWuff Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill a Phone No. 5 1 0 — 4 4 7 0 4 9 1 <br /> Address 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 Authorized Agent Signature Receipt Dale <br /> PASSDE <br /> to= SF1260-72 <br /> TRANSPORTER RETAIN <br />