Laserfiche WebLink
Waste No 8 5431 '_ <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> tN'on Cont€ a)IN, L S A Stat-or t7-333,r) <br /> rdress rator Name Generating Location <br /> P 0 Boa 4415 Address 3128 k Ben3amin Holt: Dr <br />' Houston Te\DS 77310--4415 Storkron C2lzfornza <br /> Phone No 1 �— <br /> Phone No <br /> I Waste Code C A 4 5 0 6 1 1 ; 9 2 1 1 9 1 6 1 1 1 7 Containers Type <br /> Description of Waste Quantity Units No 7 pe D Drum <br /> 0 0 0 1 g 0 T C- Carton <br /> B Bag <br />' NON HAZARDOUST Truck <br /> SOIL <br /> m � P - Pounds <br /> YYards <br /> ❑ m ❑ 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 laws has been properly described, <br /> classified and packaged, and is in proper condi ortat+on according to applicable regulations <br /> generator Authorized Agent Nanie Signature Shipment ate <br /> • <br /> 510-834-6850 <br /> ruck No Phone No <br /> Dillard Trucking Inc ,` <br /> ansporter Name Inh r2, ,� Driver Name (Print)s �� �'Y) <br /> 1r3'10�'75 <br /> Address P 0 Box 218 Vehicle License No /State l 76C2 3 <br /> I <br /> Byron California 94514 <br /> Vehicle Certification l_lz�:_ <br /> I herebFreeratyor <br /> rtfthat the above named material was picked up I hereby certify that the above n med material was delivered with <br /> the site listed ove out inti t to the destinat�o fisted below <br /> d16 12 171 7 <br /> er Signature v Shipment Date r S gnalure Delivery Date <br />� <br /> +te Name <br /> B F I Vasco Roaa Phone No <br /> Landfall 5 1 01— 4 4 7 0 4 9 <br /> 4001 North Vasco Rd Li%ermore Ca 91550 <br /> ddress <br /> hereby certify that the above named material has been accepted and to the best of my,+Cna dge the foregoing is true and accurate <br /> +Authorized Agent Signature cei pate <br /> i <br />' PASS CODE <br /> 10/86 OF1260 72o <br /> '10 <br /> r <br />