ARCHIVED REPORTS XR0001498 - Laserfiche WebLink

Home Browse Search

w Wante - _._ - --9F-I==ACCt No-_,1009042- -- - _ -- No 907994 ! -0S]/St['mS TM BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST - 11111110 r � 1649 ,anne i Mid Cad Leasing - enerator Name Generating Location Stockton , t-a �ddress P O - Box 55103 Address St ockt,o " Cu 520 � cl_ 4g 6 1 hone No �J Phone No q 4 0 5 Containers Type FI Waste Code Description of Waste Quandt Units No T pe D - Drum t ❑3 C-Carton Diesel Contaminated S011 u g - Sag T -Truck P - Pounds Y - Yards � ❑ m1:1 O Other 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 fonransportan according to applicable regulations � f � Ronald 1` Rinehart generator Authorized Agent Name Signature Shipment Date s g 916 668 .9316 truck No Phone No Fnv�ronmer,t~al Set~v'i.Ces Transporter Name M P Driver Name (Print) _ Iddress -400 ht, -io r t t�e e t Vehicle License No /State^ 4 1hereby Vehicle Certification certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the�qt nerator site listed above out incident to the destination listed below CY Driver Signature Shipment Date Driver Signature Delivery Date DESTINATION cca road an-icor*,, t_andfil1 0 ite Name SPhone ,:o �— i - r .M Q 1 vaC-t7 Roo`... IYl 'vr.m;-,7•nrE�, tri 94550 ddress ereby certify that the above named material has been accepted and to the best of r^y knowledge the foregoing is true and accurate V.1orized A ent Signature Receipt Date PASS CODE !86 BF1260 720 GENERATOR RETAIN