ARCHIVED REPORTS XR0001498 - Laserfiche WebLink

Home Browse Search

'Waste-- = -Waste — _ 2F ! -Acct - No 1009042 -- No 9R799G - =� ry OBROWNING-FERRIS IES TM NON-HAZARDOUS SPECIAL WASTE MANIFEST ' S INDU 5 Mid Cal Leasing 11: 9 E _ Charnel St . Generator Name Generating Location P. 0 . Sox 55103 Stockton , Ca - rddress nAddress Stockto , Ca - 95205 hone No Phone No LTJ BF] Waste Code = F" Containers TYPED- Drum Description of Waste QuantityT pe Units No F_] W (�`� C- Carton Diesel Contaminated Sol `i 7 u' 8 - Bag T -Truck ❑ m ❑ P - Pounds Y - Yards _ ❑ m ❑ O- Other r 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 dehi ed by 40 CFR Part 261 or anyppllcable state law, has been properly described, classified and packaged, and Is in proper condttion fort r'fr't sportatio 'accorded to applicable regulations Roo'�ild K R-inehart t 4 enerator Authorized Agent Name Signature Shipment Date O 1 r 915 666-9316 ruck No �/ �� ( Phone No M P Environmental Services Transporter Name Driver Name (Print) .? laOO Mancr Street 5r� Z 25 ddress Vehicle License No(State g--kers'I I Ca 99311)3 Vehicle Certification 'hereby certify that the above named material was picked up I hereby certify that the above named material was dehvered with- at the generator site listed above out Incident to the destination listed Blow r gnature Shipment Date r gnature Delivery Date DESTINATION , Vaaco Rco-,� Sanitary Landf i 11 n Site Name Phone No F ] 4001 Vas - Road L � ti-rmore _ Awa 945=0 dress Iereby certify that the abo, a named material has been accepted and to the best of my knowledge the foregoing is true and accurate f1f Authorized Agent Signature Receipt Date PASS CODE �86 BFI260 720 GENERATOR RETAIN