ARCHIVED REPORTS XR0009677 - Laserfiche WebLink

Home Browse Search

,.st@ No. 798098 systems tM .-FEfiFt1S 1NDUSTRiES NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR Sani< of Stockton '-,Jestarn Lift Generator Name Generating Location P. 0 . Pcx 1110 "3430 S . F1 DoraL4o Atddress Address Stockton , Cs . 9a2CT stocktnn ' CF . ELIPhone No. J 9 9 1 7 Phone No. C Q ' Containers Type BFI Waste Code e D-Drum Description of Waste Quantity Units No. Type + r G-Carton K o 4S C-asc1 Cor.tan ir,at=d moo- 1 B Bag I ' T -Truck Tl 1 _ 3 ❑ m ❑ P- Pounds Y -Yards ❑ m ❑ 0-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, classified and packaged, and is in proper condition for fransportati according to applicable regulations. jRonald K. Rinehart K I - fi LEE C-omerator Authorized Agent Name Slgnatwe Shipment Date TRANSPORTER 916 558-9316 j Truck No. Phone No. P Environmental Services � Transporter Name MRriver Name {Print � Address 3 4 0 0 Manor Street Vehicle License No./State � � baU F Bakersfield , Cry . 93308 Vehicle Certification -- 4 I hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- t he generator site listed above. out incident to the destination listed below. 4 Drhrer Signature . Shipment Date Driver Signature Delivery Data • • Vasco Road Sanitary Landfill 1 0 7 0 _ 1 1 Site Name Phone No. �— " 4 I f 4001 Vasco Road, Livermore , Ca- 54550 Address I hereby certify that the above named material has been accepted and to the best of my knowledge the fore oing is true and accurate. i 'Authorized A ent Signature Recei t ata PASS CODE tom" BF1260.720 TRANSPORTER RETAIN ;