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6awaste _ No. 950504 <br /> Syslln.irti TM '".0FEPRIS INDUSTRIES N01`4-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING- <br /> GENERATOR <br /> Generator Name Santa Fe Railway compnay Jersey Island <br /> Generating Location <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. — <br /> BFI Waste Code m I T I I Containers Type <br /> Description of Waste Quantity Units No. Type D- Drum <br /> 0 0 01 8 ❑Y �� T B- Bag C-Carton <br /> E <br /> I I <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> Ll <br /> ❑ m 17P-Pounds <br /> Y-Yards <br /> ❑ m El -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 transport tion according to applicable regulations. <br /> — <br /> �, .< <br /> Generator Authorized Agent Nae —�— Signature Shipment Date <br /> TRANSPORTER <br /> a Truck No. 510-634-6850 - <br /> Phone No. <br /> Transporter Name Driver Name Print Dillard Trucking, Inc. 279/1 1 .� A.y C4 5 d <br /> AY2 Q G <br /> Address P. o. Box 218 Vehicle License No./State l p <br /> Byron, California 94544 �QO <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up 1 hereby certify that the above named material was delivered with- <br /> at thiegener, for site listed`e. �� 11 p out incident to the destination listed below. <br /> ' lJ r 1 �3. - 1 Q 1 � �i S <br /> 71 <br /> Driver Signature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone NO.,0511 <br /> 4001 North Vasco Rd., Livermore, C. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to thebes�kno#edge the foregoing is true and accurate. <br /> Name or Authorized Ag ant nature Receipt Date <br /> I'- - PASS CODE <br /> Sal _ <br /> 10/86 <br /> - BR260-720 <br /> TRANSPORTER RETAIN <br />