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W!vas,e No. 9 �o 7 4 <br /> �StP111P TM NON-nAZARGOUS SPECIAL WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> Generator Name Santa Fe Railwav Compnav Generating Location Jersev Islarld <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. 171 <br /> BFI Waste Code m `i_f�' ! T I I Containers Type <br /> Description of Waste Quantity Units No. Type D-Drum <br /> 0 0 0 1 8 ❑Y 0 , T� B- Bag <br /> on <br /> CONSTRUCTION DEMO LUMBER 0 m D T -Truck <br /> P -Pounds <br /> Y-Yards <br /> I El m El O-Other <br /> 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 trans 9nanon according to applicable regulations. <br /> Generates Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> Truck No. - 7 - Phone No. 510-634-6850 - <br /> Transporter Name Dillard Trucking, Inc. 279/1 f <br /> P Driver Name (Print)— � )[F-/��/� n�//P� <br /> Address P. 0. Box 218 Vehicle License No./State111j/&SA!'5 <br /> Byron, California 94544 <br /> Vehicle Certification <br /> I hereby certi khat the ve named material was picked up I hereby certify that the above named material was delivered with- <br /> at the gen i li above. out incidew t B d �ti tion listed below. <br /> o � i y <br /> Driver�iynature Shipment Date Drive i9na ure Delivery Date <br /> DESTINATION <br /> Site Name B.F.I. Vasco Road Landfill Phone No. <br /> Address <br /> 4001 North Vasco Rd. , Livermore, Ca. 94550 <br /> 1 hereby certify that the above named material has been accepted and to the best ef" owledge the foregoing is true and accurate. <br /> Name of Authonzed Agent Signature Receipt D to <br /> PASS CODE <br /> 0/86 <br /> BFl260.720 <br /> TRANSPORTER RE T AI1\i <br />