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r .Waste No. 816936 <br /> I . <br /> Sysien rS TM NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> Santa Fe Railway CompnaYJersey Island <br /> Generator Name Generating Location <br /> Address 740 East Carnegie Road Address Jersey Island CA <br /> San Bernardino, CA 42408 <br /> Phone No. Phone No. = <br /> E I}-�} T� �� T [—F= Containers Type <br /> BFl Waste Code '1=�ti� D-Drum <br /> Description of Waste Quanti Units NO. C-Carton <br /> 0 0 0 Y 0I I T B-Bag <br /> CONSTRUCTION DEMO LUMBER + T -Truck <br /> ❑ ❑ ❑ P-Pounds <br /> Y-Yards <br /> �❑❑ El ❑ ❑ 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 Authorized Agent Neme signature Shipment Daze <br /> TRANSPORTER <br /> 510-634-6850 <br /> r <br /> 3 + <br /> Truck No. Phone No. <br /> Dillard Trucking, Inc. 279/1 Driver Name Print <br /> Transporter Name (Print) <br /> Address P. o. Box 218 Vehicle License NoJState 7 Co $2$y <br /> Byron, California 94544 3towglo <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 /> at the generator site listed above. out incident to the destination listed below. <br /> q64.,. �� -loll 3 q d 1 3 9 3 <br /> Driver Signature Shipment Date Signature Delivery Date <br /> i • • <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 1 1 0 — 4 1 4 1 7 1 0 1 4-19- <br /> 1 <br /> 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to th"bb of my knowledge the foregoing is true and accurate. <br /> Neme of Authorized Agent Signature Receipt Dale <br /> • PASS CODE <br /> 11 110M BFl260-72 <br /> i <br /> ", -:R,ANSPORTER RETAIN <br />