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Waste No. 816 94 <br /> yf%temS — <br /> BROWNING- <br /> FESINDUNON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name Santa Fe Paiiwnv Compr'ay Generating Location Tc;sey Isiaat <br /> Address 740 East Carnegie Road Address Jersey Island. CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. <br /> BFI Waste Code ❑ L T I I I I I I I I I I Containers Type <br /> Description of Waste Quantity Units No. Type D-Drum <br /> C-Carton <br /> 0 0 0 1 E Y❑ 0❑ 2 B_Bag <br /> CONSTRUCTION DEMO LUMBER ❑ ❑ ❑ T -Truck <br /> P-Pounds <br /> 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 /> Genereta Augroraeri Agent Name - Signature - i.. Shipment Date <br /> TRANSPORTER <br /> �j <br /> Truck No. � o Phone No. 510-634-6850 <br /> Dillard Trucking, Inc. 279/1 Sr o e/.S <br /> Transporter Name Driver Name (Print) <br /> Address P. 0. Box 218 Vehicle License NoJState CpA;�p `7a'l <br /> Byron, California 94544 ..300 J, �O <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> al the generator site listed above. out incident to the destination listed below. <br /> !// K16 1 / 3 I 1 O <br /> Driver Signature Shipment Date Driver ignalure Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 1 0 — 4 1 4 1 7 1 0 4 9 1 <br /> 4001 North Vasco Rd., Livermore, C. 94550 <br /> Address <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 Authonz.d Agent Signature Receipt Da e <br /> _ PASS CODE <br /> 10/86 BF1260-720 <br /> TRANSPORTER PE1v1 <br />