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Waste _ No. s 5 2 a. 6 8 <br /> Systems TM t` <br /> BROWNING-FERRIS INDUSTRIES I '�4ON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> I <br /> SFRailway Compnay ' 'rsec Island <br /> anta e <br /> Generator NameGenerating Location` <br /> Address 7Ln Fns[ Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. �m Phone No. Ll 1- 1 <br /> 71 BFI Waste Code E M p T Containers Type <br /> Description of Waste Quantity Units mNo. T ype D-Drum <br /> 0 0 0 2 0 Y❑ IU l i l C-Carton <br /> B Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> SPFC /,4 C 6J14 �7f / .rL/ C/C,-,y ❑ ❑ ❑ P - Pound: <br /> Y-Yards <br /> ❑ ❑ ❑ 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 Shoment 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. o. Box 218 Vehicle License NoJState M Z9 l <br /> Byron, California 94544 <br /> Vehicle Certification '7C/C/ 76 <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered will <br /> at the genera rsite listed above. out incident to the destination listed below. <br /> Driver Signature Shipment Date rSlgnat slivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 1 0 — 4 1 4 7 1 0 1 4 9 1 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 my knowledge the foregoing is true and accurate <br /> 1 <br /> Name of Authorized Agent Signature / Rec.pt Da e <br /> PASS CODE <br /> 10/86 <br /> BFI260-7. <br /> TRANSPORTER RETAIN <br />