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Waste No 55U144 Systems '"' NON-HAZARDOUS SPECIAL WASTE MANIFES-r BROWNING-FERRIS INDUSTRIES GENERATOR Santa Fe Railway Compnay Jersev Island Generator Name Generating Location Address 740 East Carnegie Road Address Jersey Island, CA San Bernardino, CA 92408 Phone No. Phone No. BFI Waste Code m T L�L� Containers Type Description of Waste Quantity Units No. yppe, D-Drum 0 0 0 1 8 EPE I ! I C-Carton LLJI e •Bag CONSTRUCTION DEMO LUMBER T -Truck ❑ m ❑ P-Pounds Y-Yards ❑ m ❑ O-Other I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transport tion according to applicable regulations. GenerdtorAuthonzed Agent Name Signature Shipment Date TRANSPORTER 1Z C1 sa^t ,a raa>,;; ... Truck No 510-634-6850 `' Phone No Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) V /M �'�RR•E/Rift Address P. o. Box 218 Vehicle License No./State Ln e32 Gy Byron, California 94544 300 g/O Vehicle Certification I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the generator site listed above. out incident to the destination listed below. Driver Signature Shipment Dam Driver Signature Delivery Date Site Name B.F.I. Vasco Road Landfill Phone No. 4001 North Vasco Rd., Livermore, Ca. 94550 Address hereby certify that the above named material has been accepted and to the best of my kn a forego' ruST a and accurate. i Name of Authorized Agent Signature i Rece t Dab PASS CODE 10/86 BF1260-720 TRANISPORTFR F—,TEII'