Laserfiche WebLink
:. S � <br /> te <br /> � <br /> 788084 <br /> ui F %fV stems TIM s <br /> YINta-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> F GENERATOR <br /> TC63rk cr Stockton Nest _ f <br /> . � �_rn Lt <br /> Generator ` <br /> e ator Name <br /> .-r Generating Location <br /> f_' ,n O. Box 1110 � � ?� S E1 00 a �� <br /> `Address Address �v <br /> tcckt.nn C.9 . C' C k t on <br /> Phone No. 3 J Phone No. <br /> BFI Waste Code Containers Type <br /> Description of Waste Quantit Units No. T e D-Drum <br /> CGn am rated m C-Carton <br /> El <br /> r B - Bag <br /> T -Truck <br /> F1 E= ❑ <br /> P- Pounds � <br /> Y-Yards <br /> ' ❑ m ❑ O-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFA 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 /> Rcna1d K Ri.)r=har <br /> Generator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> 915 ss°-931 <br /> t Truck No.-47 / Phone No. <br /> M, P Envircnmentml Services <br /> ;Transporter Name Driver Name (Print) ���� y/l»�•SOrr! <br /> Address 3400 Manor Street <br /> Vehicle License No.IState [c; <br /> ' Bakersfield , -Ca' . 93305 <br /> Vehicle Certification 4-2 <br /> I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> at the nerator site listed above. f out i dent to the destination listed below. <br /> rDri Shipment Date Driver Signatu►e D Delivery Date <br /> DESTINATION <br /> 'f' Vasco Read Sanitary L"Andfi11SiteS 1 s 3 1 <br /> . Phone No. � <br /> t•4 4001 Pasco Road , l_i%rer'mcr•e, 'ra _ 94550 <br /> Address <br /> I here <br /> I)y_certity that the above named material has been accepted and to the best of my.kno d t oregoing is true and accurate. <br /> .i.e.p.• +. <br /> M ' <br /> ' y 'Authorized Agent' Si nature Aacei t pate <br /> AUG 2 Q 19.71. ` <br /> ENVIRONMENTAL HEALTH <br /> •� ! PASS CODE <br /> 0 PERMIT/SERVICES <br /> . BFt260-720 <br /> TRANSPORTER RETAIN t <br />