ARCHIVED REPORTS XR0000652 - Laserfiche WebLink

Home Browse Search

Waste No 854343 Systems TM BROWNING FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST • E%\0n Con,par'% I S i Cti1011 Stat To RT- ,C nerator Name Generating Location ddress P 0 Bo% 4415 Address 3128 H Benjamin Holt Dr Houston Teras TT310-J' ,15 Stockton California [=—I 2 4 6 8 T G Phone No Phone No �l Waste Code C a 0 Ci 1 i 9 2 i 1 9 1 6 1 1 1 7 1 Containers Type Drum Carton Description of Waste Quantity Units No T pe D - 0 C - CCarton L� 13 Bag NON HAZARDOUS T -Truck SOIL ❑ m ❑ P - Pounds Y - Yards F-1m 1-1O 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 nerator Authorized Agent N e Signature �� Shipment IDate • ! 510-634_6850 ruck No ! Phone No Dillard Trucking Inr n TT transporter Name Io})=2 53 Driver Name (Print) Address P O Bok 218 Vehicle License No/State ' Byron California 94514 Vehicle Certification 7 D V I hereby certify that the above named matenal was picked up I hereby certify that the above named material was delivered with the generator site listed above out incident to the destination listed below -' 2 ver Signature Shipment Date Driver Signature Delivery Date �ite Name B F I Vasco Roaa Larndf i l l Phone No 0 1 0 4001 North \asco Ro L.xermore Ca 94550 ddress hereby certify that the above named material has been accepted and to the best of my kr ledge the foregoing is true and accurate of Authorized Agent Si nature ------nece i Oat ' PASS CODE 10/66 OF1260 720 1