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Waste No.r"' P n a R Systems TM EF.RIS INDUSTRIES ES NON-HAZARDOUS SPECIAL WASTE MANIFEST BROW;JING-F GENERATOR Sana Fe Railway Compnar Generator Name Generating Location Jersev Island Address 740 East Carnegie Road Address Jersev Island, CA San Bernardino, CA 92408 �n Phone No. Phone No. BFI Waste CodeFTE] [TT� T Containers Type Descri tion of Waste QuantityUnits No. D-Drum C-Carton MITI I1 7 0 T B Bag CONSTRICTION DEMO LUMBER '• �—�I� T -Truck l ❑ m ❑ P -Pounds Y-Yards EJ m 1:1 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 transportation according to applicable regulations. Generator AutttotizeG Agent Name .- SgnaNre Shipment Date TRANSPORTER Truck No.—I�- Phone No. 510-634-6850 Z41- Transporter Name Dillard Trucking, Inc. 279/1 T- 1 Z /� ` Driver Name (Print) �c-+L �l� `�t P / Address F. o. Box 218 Vehicle License No./State n/�pl-r Byron, California 94544 30��c 3 Vehicle Certification I hereby certify that t e above named material was picked up I hereby ce that the above named material was delivered with- at the atoZit/st above, out incid o the eVnation listed below. D / / 9 er Signature Shipment Date Dr SignaWre DefnveR,Date DESTINATION Site Name B.F.I. Vasco Road Landfill Phone No. 5 t 0 — 4 4 7 0 4 T9—r1 Address 4001 North Vasco Rd. , Livermore, C 94550 1 hereby certify that the above named material has been accepted and to the best of my kn foregoing is true arid-accurate. Name of Autm)M o Agent Si nature Receipt Date PASS CODE 10/86 BFl260-720 TRANSPORTER RETAIN