ARCHIVED REPORTS XR0001498 - Laserfiche WebLink

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Waste_ ---�- �--- -- �- -- -- � - - No---90,7-995- -- Systems --9 0,7-9 9 5- r- �1< r ..� tet: _ _—� oa;3o� �-- Systems TM� T JT ROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST . enerator Name Mid Cal Leasing Generating Location- 1643_ E. Channel St� = ddress P 0. Rex 551 03 Address Stockton , Ca - Stockton , a -Stockton Ga 95205 _ _ 1 - _ hone No L__ -4J 6' 6 q 9 Phone No BFI Waste Code 4 0-15 1 8 3 I ' 4 9 Containers Type - Description of Waste Quandt Units -No T pe D - Drum C-Carton Diesel Contaminated Soil � � B - Bag 7 -Truck E 1:1 P - Pounds Y -Yards ❑ ('� ❑ O- 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, 4, classified and packaged, and Is in proper eoridition fort ansportatio accordijig to applicable regulations L 1 Oartiald ti t=tinef�art V-1 � - -V I enerator Authorized Agent Mame Signature Shipment Date uck No ~� �� Phone No 915 668-9316 Fransporter Name M P Environmental Services Driver Name (Print) dress 3400 Marcor Street Vehicle License No/State r rt si Vehicle Certification tereby certify that thea ve named material was picked up I hereby cert4fy that the above named material was delivered with- it the generator site Ii t6dabove out incide eto'the destin trb'� listed below )river Signature Shipment Date Driver Signature Delivery Date s to Name ,' P��ad :6i�; t a ~y Land-ri 11 Phone No ' 1 4 , D 4 9 i dress 4, rju I Vasco Road Livermore , Ca 945,50 - �ereby certify that-the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate ` ILI --E:= Authorized A en1 Si nature_L _ = Receipt Date PASS CODE 16 8F1260 720 GENERATOR RETAIN