Laserfiche WebLink
waste o t <br /> No. 916005 -IJ <br /> Systems TM w ' <br /> BROWNING-FERRIS INDUSTRIES I\ bWHAZARDOUS SPECIAL WASTE. MANIFEST <br /> GENERATOR <br /> 1 U rator Name i. 't�i�E; 1 I t7t ILK'�' ; C C�'T'�.s j <br /> Generating Location <br /> Address 454 E. GPAN�.T�' RSDSAME <br /> Address <br /> TRACY, CA 95376SAME <br /> y <br /> 'Phone No. 8 ' 3 5 9 1 3 3 Phorie No. <br /> EIR Waste Code C �{ f b ) `� Z 3 3 Containers Type <br /> # Description of Waste Quantity Units No. T pe 0 -Drum <br /> C-,Parton <br /> FT. I IT 8 z a - Bag <br /> T -Truck <br /> Dm ❑ P - Pounds <br /> Y -Yards <br /> F-1m ❑ 0-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 property described, <br /> classified and packaged, and is in proper conditi n for tr nsportation according to applicable regulations. <br /> BOB FAG[] MES, PILANP HUMME �) -� U f o Z 6 <br /> Generator Authorized Agent Name. Signature Shipment Data I <br /> Truck No. <br /> Phone No. 2 <br /> N <br /> Transporter ame <br /> . Driver Name (Print) <br /> . I <br /> Address d Vehicle License No./State 2- <br /> I <br /> . i <br /> Vehicle Certification <br /> I hereby certify that the above na ed 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 th estination listed below. <br /> IL 4� <br /> Driver Signature Shipment Dale Driver Signature <br /> Delivery Date <br /> .'A DESTINATION, <br /> Site Name <br /> Phone No. <br /> Address <br /> I hereby certify that the above named material has been accepted and to the be f y knowledge the foregoing is true and accurate. <br /> Namr­t Authorized Agent <br /> sial ale ' <br />` PASS CODE <br /> 10/86 <br /> • • BF1260.720 <br /> UNLOADING AREA COPS <br />