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[W P` ti t <br /> Sys �m,a TM <br /> BFOWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Santa Fe Railwav Compnav Jersey Island <br /> Generator Name Generating Location <br /> Address 740 East Cernesie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. �❑—� <br /> BFI Waste Code M P T ❑ Containers Type <br /> Description of Waste Quant,i Un❑'its T pe D.Drum <br /> I-rC-Carton <br /> 0 0 0 2 0 Y 0 B-Bag <br /> CONSTRUCTION DEMO LUMBER T -Truck <br /> S I�EC A C t.,j A s 7'E (jr,'r/y ClEy0 �❑ ❑ ❑ ❑ P-Pounds <br /> Y-Yards <br /> ❑�❑ ❑ ❑ ❑ O-Other <br /> 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 /> f� TRANSPORTER <br /> Truck No. Phone No. 510-634-68 50 <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) !' rCt'l�/��1c <br /> Address P. o. Box 218 Vehicle License No./State <br /> Byron, California 94544 <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 the generator site listed above. Jout incident to the destination listed below. <br /> Dmx\–Signature 0 ,e-tr4,_Ll re,� / y - <br /> Shipment Date Driver Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 1 0 — 4 4 7 0 4 9 1 <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 Authorue0 Agent Si natureReceivt Dat <br /> PASS CODE <br /> 10186 . <br /> BF1260-720 <br /> TRANSPORTER RETAIN <br />