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Wasw No. 816926 <br /> f Systems <br /> BRO W NINGFERRIS,INDUSTRItS NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Santa Fe Railway Ccmpnay. _Jersey i '_a-:d <br /> Generator Name Generating Location <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 r� <br /> Phone No. Phone No. L�1� <br /> BFI Waste Code FF—E] T I I I Containers Type <br /> Description of Waste Quantity Units No. Tvne D-Drum <br /> C-Carton <br /> 0 0 0 1 8 Y 0 T B Bag <br /> CONSTRUCTION DEMO LUMBEREl m ❑ T -Truck <br /> P -Pounds ' <br /> Y-Yards <br /> L�L�L.I.J El m ElO-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 Agerd Name Signature Shonent Date <br /> TRANSPORTER <br /> - ,. . .. -. 510-634-6850 - <br /> Truck No. Phone No. <br /> Dillard Trucking, Inc. 279/1 <br /> Transporter Name Driver Name (Print) <br /> P. 0. Box 218 J / 1E <br /> Address Vehicle license NoJState <br /> Byron, California 94544 <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 /> ti <br /> 1 �k„ <br /> -Driver signature `t Shipment Date Driver Signature 'i Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. 5 I O — 4 4 7 1 0 4 9 t <br /> 4001 North Vasco Rd., Livermore, Ca. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my kno leda for goi is true and accurate. <br /> Name of Authorized A enl 711 ^f: - lure Recei t Dat <br /> L <br /> 10/w JAN 1 9`1993 PASS CODE <br /> 9 SFI260-720 <br /> ENVIRONMENTAL HEALMRANSPORTER RETAIN <br /> ----2ERM1T/S€RVIC—ES ----- --_ _ <br />