Laserfiche WebLink
..,te <br /> No. 798077 <br /> viysteR ■m■s.7M <br /> ..NG-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> CJ <br /> Generator Name ' <br /> Generating Location <br /> Address e x <br /> �cr <br /> Address <br /> Phone No. �� <br /> Phone No. — <br /> EEII= <br /> , x c f, <br /> BFI Waste Code LLILJli= <br /> Containers Type <br /> Description of Waste r-ZOuantit D - Drum <br /> Units <br /> N <br /> o. Type <br /> C! �' i � � m C-Canon <br /> r. r - c - <br /> B - Bag <br /> ❑ m ❑ T Truck <br /> P - Pounds <br /> Y- Yards <br /> ❑ � ❑ O-Other <br /> I 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 law, has been properly described, <br /> classified and packaged,'and is in proper condition for transportation according to applicable regulations. <br /> Ronald K. R'Inet-,art <br /> 4, `' --- l . � '�_- (••sir—�' , <br /> Generator Authorized Agent Nam <br /> e <br /> signature 5hlpment Date <br /> f <br /> .. �d <br /> Truck Na. '// � � `�" 5 558-0-315 <br /> Phone No. <br /> Transporter Name M P Environmental Services <br /> Driver Name (Print) FS <br /> 3400 Manor Street <br /> Address <br /> M11- '- . Vehicle License No./State 1ze <br /> la. <br /> 8akersFie'Id, Ca . 5330 . <br /> _ Vehicle Certification --�p•2 �� <br /> Ih <br /> ereb certify that at the above Y fY o e named material was picked up I hereby certify that the above named material was delivered with- <br /> at the generator site listed above. out incident to'the destination listed below. <br /> 011r <br /> 0 S _ <br /> r&rpnature Shipment Dale -9 er Signature 6 <br /> (/ Dellvery Date <br /> DESTINATION <br /> Site Name Vasco Road Sanitary Land-Fill q , <br /> Phone No. = <br /> Address 4001 Vascc Road. , Liver more, Cz _ 9d55.Q <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the for going-1 rue and accurate. <br /> C V E <br /> urhorized A n <br /> S1 nature <br /> to <br /> NVIRONMENTA.HEALTH <br /> PERMIT/SERVICES J PASS CODE <br /> low / _'A F <br /> ✓ �J � BFI260.720 <br /> TRANSPORTER RETAIN 1 <br />