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Waste`' No. bib y5u BROWNING- FERRIS IES „+ NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR Santa Fe Railwav Compnay Jersey Island Generator Name Generating Location 1 Address 740 East Carnegie Road Address Jersey Island, CA San Bernardino, CA 92408 Phone No. Phone No. ❑❑ Containers Type BFI Waste Code ❑ IT -Drum Description of Waste QuantityUnits No. Type C•Carton 0 0 0 1 8 Y❑ V I f I T B-Bag CONSTRUCTION DEMO LUMBER T -Truck F1 FTI F-1 P-Pounds Y-Yards ❑❑❑ El ET-1 1:1o•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 transportation according to plicable regulations. Generator Audwrbmd Agwd Nome - signature Shipment Date TRANSPORTER 510-634-6850 Truck No. 'r . ' Phone No. Dillard Trucking, Inc. 279/1 Driver Name Print !,4 "–"` "` Transporter Name (Print) /y 6� Address P. 0. Box 218 Vehicle License No./State Byron, California 94544 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 genu or site listed above. out in id nt7�hdestip, tion lisle below. Driver Signature Shipment Date Driver Signature ! Delivery Date DESTINATION Site Name B.F.I. Vasco Road Landfill Phone.No. 5 1 0 — 4 1 4 7 1 0 1 4 11 9 1 1 4001 North Vasco Rd. , Livermore, C. 94550 Address i I hereby certify that the above named material has been:accep:tedand to the best of nowled s-th egoing is true and accurate. Name of Authonzeo A ent Recei t Date I PASS CODE 10166 - BR2M7 TRANSPORTER RETAIN