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Waste No. 950749 <br /> Systems TM NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIES <br /> GENERATOR <br /> Santa Fe Railway Compnay Jersey Island <br /> Generator Name Generating Location <br /> Address 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 92408 <br /> Phone No. Phone No. -1 TTI <br /> BFI Waste Code Ef E] I` T Containers Type <br /> Description of Waste Quantity Units No. D-Drum <br /> 0 0 0 1 8 EF I T I C-Carton <br /> lL_JJ B-Bag <br /> CONSTRUCTION DEMO LUMBER El m El T-Truck <br /> P-Pounds <br /> Y-Yards <br /> El 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 taw, has been properly described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations. <br /> 27 <br /> Generator Authorized t Name Signature Shipment Data <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No � Phone No. <br /> Dillard Trucking, Inc. 279/1 <br /> Transporter Name Driver Name(Print) [CJ � �a <br /> Address P. 0. Box 218 Vehicle License No./Statel�AL/WS— <br /> Byron, California 94544 767' <br /> Vehicle Certification 33/N <br /> I hereby certify that th i bove named material was picked up I hereby certify that the above named material was delivered with- <br /> at the g : <br /> ,rr r s d above. out incide a desti tion listed below. <br /> Driv nature Shipment Date D erSignature Delivery Date <br /> DESTINATION <br /> � <br /> Site Name B.F.I. Vasco Road Landfill Phone No. l.��--Iq— IIP� <br /> 4001 North Vasco Rd. , Livermore, C. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of kno edge the foregoing is true and accurate. <br /> Name of Authorized Agent Si nature eCelpt Datd <br /> PASS CODE <br /> IQ= BF1260.720 <br /> TRANSPORTER RETAIN <br />