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eWaste I <br /> No. 816924 <br /> sry`stclis TM NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> Generator Name Santa Fe Railway Ccmpnay Generating Location .;er;;t.;y :slams <br /> Address 740 East Carnegie Road Address Jersey Island CA <br /> San Bernardino, CA 42408 <br /> 1 Phone No. 0—TI Phone No. � <br /> BFI Waste Code m I T I I I I I I TTS Containers Type <br /> Description of Waste Quanti Units No. Type D-Drum <br /> 0 0 0jjqDE C-Carton <br /> I ' t B-Bag <br /> CONSTRUCTION DEMO LUMBER • T -Truck <br /> ❑ m ❑ P-Pounds <br /> Y-Yards <br /> 71 <br /> El m [IO-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 taw, 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 /> TRANSPORTER <br /> r 301 <br /> Truck No. <br /> Phone No. G <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Narita (Print) Il / 6061Ry <br /> Address P. o. Box 218 Vehicle License NoJState 4C0 4Z gLi <br /> Byron, California 94544 :?V67 Rid <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 Ithclestination listed below. <br /> o r / 9T9 <br /> Driver signature Shipment Date Driver.hgnature DeGvety Date <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5Flo — 4 1 4 1 7 1 0 I 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 mZke e foregoi s true and accurate. <br /> Name of Authonzed A ent Si nature fl ete <br /> .y...._. PASS CODE <br /> Was BR260-M <br /> I TRANSPORTER RETAIN <br />