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I. rt Waste No. p <br /> Systems <br /> BROWNING- NON-� ,AZAHDOUS SPECIAL VVASTE MANIFEST <br /> FERRIS INDUSTRIES <br /> GENERATOR <br /> Generator Name `'ants Fe Railway Campna Generating Locatiollfrsey Island <br /> Address 740 Knot Carneaje Road Address Jersey Island- CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. <br /> m Containers Type <br /> BFI Waste Code E_%—E I D-Drum <br /> Description of Waste Quantity ll❑ <br /> C-Carton <br /> 0 0 0 2 0 Y B -Bag <br /> CONSTRUCTION DEMO LUMBER m T -Truck P -Pounds <br /> S�C� yL C✓ S !i (�,Tf/ C'� r�u Y-Yards <br /> 0 FTI El 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 /> Truck No. Phone No. 510-634-6850 <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) <br /> Address P. 0. Box 218 Vehicle Ucense NoJState, <br /> Byron, California 94544 <br /> Vehicle Certification c.. U�17Glf <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generatorsite listed above. out incident to the destination listed below. <br /> OrivefSigFnatune Shipment Date er Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone NO. 1 5 1 1 0 —4 4 7 0 4 9 I <br /> Address 4001 North Vasco Rd. , L#vermore, Ca. 94550 <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> 111 <br /> Name or Authorized Agent Signature Receipt Da <br /> PASS CODE <br /> low BR260-72 <br /> TRANSPORTER RETAIN <br />