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Waste� No. 9C; 07 :1 <br /> SySS '" <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name Santa Fe Railway Compnay Jersev Island <br /> Generating Location <br /> Address _ 740 East Carnegie Road Address Jersey Island, CA <br /> San Bernardino, CA 9240E <br /> Phone No. Phone No. �— <br /> BFI Waste Code El V= I T I I I I D I I II I Containers Type <br /> Description of Waste Quantity Units No. Type D-Drum <br /> 0 0 0 1 8 ❑Y 0 / B.Carton Bag <br /> m <br /> CONSTRUCTION DEMO LUMBER T,Truck <br /> P-Pounds <br /> Y-Yards <br /> J El m El O-Other <br /> I hereby pertify 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 acrd packaged, and is in proper condition for transQortatioaccording to applicable regulations. <br /> eZ <br /> Generetp u mused Agent Name nature - Shipment Data <br /> TRANSPORTER <br /> /3 <br /> Truck No. Phone No. 510-6344850 <br /> Transporter Name Dillard Trucking, Inc. 279/1 <br /> Driver Name(Print) <br /> Address P. 0. Box 218 Vehicle License NoJState <br /> Byron, California 94544 �� Q, <br /> Vehicle Certification 7 �a2 <br /> I hereby certify that the above named material was picked up ereby certify that the above named material was delivered with- <br /> at the gen tRe fisted above. <out incident to fhb destination listed below. <br /> Dnver �ure O Shipment Den DrivevSignat Dom ,�e r <br /> DESTINATION <br /> Site Name B.F.Z. Vasco Road Landfill Phone No. t---CD <br /> Address 4001 North Vasco Rd. , Liver re. C. 94550 <br /> 1 hereby certify that the above named material has been accepted and to the best of�wledge the foregoing is true and accurate. <br /> Name of Authorized A t S ature - eceidt Da e <br /> PASS CODE <br /> 10/96 <br /> BF1260-720 <br /> T 'J^ 'S= ?TM RETAIN <br />