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► Waste I..00 No. '951156 <br /> Systems '" NON-HAZARDUUS SPECIAL WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> Santa Fe Railway i::omynay Jersey :stand <br /> Generator Name Generating Location <br /> � Address <br /> 740 East Carnegie Road Address Jersey Island CA <br /> San Bernardino, CA 92408 <br /> Phone No. l��— Phone No. —FT11= <br /> ContainersrDrum <br /> BFI Waste Code � M P T Descri tion of Waste Quanti units �No. T 0 0 0 2 0 IU I / I CONSTRUCTION DEMO LUMBER ❑ m ❑C/�e G//JR:��C Ga// T!( ��Cr/U <br /> ❑ 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. <br /> Generator Authorized Agent Name signature - Shipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No. Phone No. <br /> Transporter Name <br /> Dillard Trucking, Inc. 274/1 Driver Name(Print).. <br /> .Address <br /> P. 0. Box 218 Vehicle License NoJState <br /> Byron, California 94544 3(9 11 Y <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered wit <br /> at the generato�ite listed above. out incident to the destination listed below. <br /> loll VFil <br /> D =ignatum Shipment Date OfW 'Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 1 —14 4 7 0 4 9 1 <br /> 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurat <br /> Name of Authorized Agent Si9�ture - Receipt Dates <br /> PASS CODE <br /> BF1260 <br /> lom <br /> TRANSPORTER RETAIN <br />