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WasteNo. 951183 <br /> SySte 1S '" _ <br /> BROWNING-FERRIS INDUSTRIES NON-hAZARDGUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name Santa Fe Railwav Compuay rsey Island <br /> Generating Locatidln <br /> Address 740 -arn gie Road Address Jersey Island CA <br /> San Bernardino, CA 92408 <br /> Phone No. m� Phone No. �— <br /> BFI Waste Code F`X_E Containers Type <br /> Description of Waste Quandt Units No. Type D-Drum <br /> / C-Carton <br /> 0 0 0 2 0 El ❑ B-Bag <br /> CONSTRUCTION DEMO LUMBER <br /> S�°E C a G✓,4 s Ti l� r f� ��Fyo ❑ ❑ ❑ Truck <br /> P•Pounds <br /> Y-Yards <br /> ELE= El ❑ 0.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 y <br /> ;ITRANSPORTER <br /> s <br /> .. v \ - <br /> Truck No.' �/J Phone No. 510-634-6850 <br /> Transporter Name Dillard Trucking, Inc. 279/1 � <br /> Driver Name(Print) - <br /> Address 1 0 ox 21i Vehicle License No <br /> JState <br /> ..' a' <br /> Byro .Zali'fornia 94544 >O Q �6� <br /> Vehicle Certification— J <br /> I hereby certify,that the abdve named material was picked up I here that the above named material was delivered with- <br /> at the generator e l sted atiovp. out inc t destination listed below. <br /> Driver Signature a /Shipment Date river Si lure - - / ! <br /> DON"Date <br /> DESTINATION <br /> i <br /> Site Name B.F.I. Vasco Road Landfill Phone No. <br /> %I 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 /> Name of Authonzed Agent Si nature <br /> Recei D <br /> b <br /> PASS CODE <br /> 10/86 <br /> BF1260.720 <br /> TRANSPORTER REIAiN <br />