Laserfiche WebLink
■ **aste No 854341 <br /> Systems TM <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> E\%oti Compa"x t S a t��t ��, cS .2 „�„ F7- <br /> eratar Name Generating Location <br /> Fddress P 0 Bol 4415 Address 3128 U Benjamin Holt Dr <br /> Houston Teas 77310-4415 Storkton Cdlifoinia <br /> [=—I G — 2 1 4 1 G 1 8 1 7 C G `�— <br /> Phone No Phone No <br />,FI Waste Code C A 0 FC 1 7 9 2 1 9 6 1 7 Containers Type <br /> Description of Waste Quantity Units No Type p Drum <br /> 0 0 0 1 $ EE C Carton <br /> l�a-1 B Bag <br /> \0\ H4ZARDOLS T Truck <br /> SOIL ❑ m ❑ P - Pounds <br /> Y Yards <br /> ❑ m ❑ <br /> LOtherj <br /> I hereby certify that the above Pamed 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 and packaged, and is in proper condition for transportation according to applicable regulations <br /> enerator Authorized Agent Nanie Signature Shipmenif Date <br /> Mii d; • !L11111;11411 <br /> le7zJ 510-634-6850 <br /> ruck No Phone No <br /> Dillard Trucking Incr�UE- <br /> iransporter Name _ Tr,t, —2 55 Driver Name (Print) <br /> Address P 0 Boa 218 Vehicle License No /State J a <br /> Byron Califorria 9451.1 <br /> Vehicle Certification <br /> I hereby,derhfy that the above named material was picked up I hereby certify that the above named material was delivered with <br />�t the generator site listed above out incident to the destination listed below <br /> liver Signature / Shipment Date Dnver Signature Delivery Date <br /> B F I Vasco Roaa Landfill <br /> rte Name Phone No <br /> 4001 North Vasco Rd Li�ermoie Ca 93550 <br /> ddress <br /> hereby certify that the above named material has been accepted and to the best of rte} 1edge t�regoing is true and accurate <br /> IIIIIIEWhe of Authorized Agent Si nature Receipt Date <br /> PASS CODE <br /> 10!$fi 6F1260 720 <br />