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Waste _ _ No. 9 5 0 5 01 <br /> Systems TM NON-HAZARDOUS SPEC, PAL v BASTE NwNIFE6 <br /> IS Y-JDUSTRIES I <br /> BRO WNING-FERR <br /> GENERATOR <br /> Generator Name Santa Fe Railwav Comunav Jersev Island <br /> Generating Location <br /> Address 740 East Carnemie Road <br /> Address Jersey Island, CA <br /> San Bernardino, CA 92»08 <br /> Phone No. Phone No. — <br /> BFI Waste Code m Lj::B T Containers Type <br /> Description of Waste Quantity Units No. T pe D.Drum <br /> EO 0 1 8 Y 0 T C-Carton <br /> B -Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> II ❑ m ❑ P -Pounds <br /> Y-Yards <br /> 1:1 m F1 -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 /> OaeargaV erne Signature ice' Shipment Date <br /> TRANSPORTER <br /> i I <br /> Truck No. / I 1 )' I__I Phone No. '510-634-6850 <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name(Print) <br /> i <br /> Address P. 0. Box 218 Vehicle License No./State 4 V g2 <br /> Byron, California 94544 O(9 610 <br /> Vehicle Certification U <br /> 1 hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator site listed above. out incident to the destination listed below. <br /> ) �IA.� o / / y 9 3 Xiiw1 �Gt ,¢��c o / / S `I <br /> Driver Stgnature Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. <br /> Address 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> 1 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 Authorized Agent S pnature � / <br /> I4 Receipt Dat <br /> I <br /> • PASS CODE <br /> 10/66 <br /> BFI260.720 <br /> TRANSPORTER RETAIN <br />