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Waste No. <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SFECIHL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name Santa Fe Railway Compnay Generating Locatio'�ersey island <br /> j Address 760 Ficiat Carnegie Road Address Jersey Island, CA <br /> i <br /> San Bernardino, CA 92408 <br /> Phone No. ❑❑m Phone No. �— <br /> BFI Waste Code k �L Containers Type <br /> Description of Waste Quantity Units No. T pe D- Drum <br /> C-Carton <br /> 0 0 <br /> F 2 0 E] OF_[—] <br /> B - Bag <br /> CONSTRUCTION DEMO LUMBER _71T -Truck <br /> S P� �c L ,4 s-,;- ❑ ❑ ❑ P-Pounds <br /> + Taj C 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 Auttwized Agent Name Signature - Shipment Date <br /> TRANSPORTER <br /> Truck No.�� `- �7 V Phone No. 510-634-6850 <br /> jTransporter Name Dillard Trucking, Inc. 279/1 Driver Name(Printl��t„`�� <br /> I <br /> Address F. 0. Box 218 Vehicle License NoJState U<0d,y /G <br /> - Byron, California 94544 <br /> Vehicle Certification,— S 7 <br /> I 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 /> 17 <br /> Dnver signature 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 Authored Agent S gnature Receipt Date <br /> PASS CODE <br /> low <br /> BF1260-720 <br /> TRANSPORTER RETAIN <br />