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0 Waste No. 95 07 4 IL <br /> Systems TM <br /> RIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING-FER <br /> GENERATOR <br /> Generator Name Santa Fe Railway Compnay Generating Location Jersey Island <br /> Address 740 East Carnertie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. <br /> BFI Waste Code m T I I I I I I I I Containers Type <br /> Description of Waste �uantity Units No. T e D-Drum <br /> 0 C-Carton 0 0 1 8 Y 0 T B-Be, <br /> CONSTRUCTION DEMO LUMBER - m T -Truck <br /> P-Pounds <br /> Y-Yards <br /> E m 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 transport It according to applicable regulations. <br /> Generator Authgdzed Agent Name Signature Shotrent Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No. v Phone No. <br /> Transporter Name Dillard Trucking, Inc. 279/1 Driver Name (Print) ( / Lrl�/ly�•CG/L <br /> Address P. o. Box 218 Vehicle License No./State <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 incid r to the destination listed below. <br /> yllieA <br /> DrKw Signature Shipment Date Dnver Signature Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. <br /> Address 4001 North Vasco Rd., Livermore, C. 94550 <br /> I hereby certify that the above named material has been accepted and to the bestoLiny knowledge the foregoing is true and accurate. <br /> Name of Authorized Agent Signature <br /> "- .PASS CODE <br /> 70166 <br /> BPI260-720 <br /> TRANSPORTER RETAIN <br />