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Waste No-81049 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-.HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Sana Fe Railway Compnav Jersev 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. <br /> BFI Waste Code FT-E] T Containers Type <br /> Description of Waste Quantity Units No. Tyyppee D-Drum <br /> 1 a 0 / f C-Carton <br /> u B-Bag <br /> CONSTRUCTION DENO LUMBER T -Truck <br /> El m ElP-Pounds <br /> Y-Yards <br /> ❑ m El -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 stats law, has been properly described, <br /> classified and packaged, and is in proper condition for transportation ccording to applicable regulations. <br /> Generator Auff ¢ed Agent Name signature Sh%xnerR Daze <br /> TRANSPORTER <br /> 510-634-6850 <br /> Truck No. Phone No. <br /> Dillard Trucking, Inc. 279/1 <br /> Transporter Name Driver Name !Print) <br /> Address P. 0. Box 218 Vehicle License <br /> Byron, California 94544 <br /> Vehicle Certification <br /> I hereby certify thi tlhe above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the genera pr 31t o'sled above. out incide the de ination listed below. <br /> i <br /> Driver Signature - Shipment Date Drivbr Sig a y Date <br /> i <br /> DESTINATION <br /> Site Name E.F.I. Vasco Road Landfill Phone No. 1 0 — 4 4 7 0 4 9 1 <br /> 4001 North Vasco Rd. , Livermore, Ca. 94550 <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my kno ledg the fog- is true and accurate. <br /> Name of Authorized Agent Si nature Reoei t Date <br /> PASS 0OOE <br /> 10!86 BF1260-720 <br /> TRANSPORTER RETAIN <br />