Laserfiche WebLink
;: �t ,._ _ +� s�� �• mac, ,y,�: $„� �� <br /> 0 Waste No, 401716 <br /> Systems <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> t'N0CAL MatrketIng Generating Location UNOCAL Station X6015 <br /> Generator Name <br /> Address <br /> P. 0. tion 5611 Address 601 R. Feltlenan Lane <br /> ran �littr.u, Cit. 94,102 Lodi. CA <br /> i <br /> '1 1 � �� Phone No. <br /> Phone No- <br /> Containers <br /> L ��_ Containers Type <br /> BFI Waste Code Quantity Units No. T e I]-Drurn <br /> Description o!Waste � C-Carton <br /> t. c 1 ! E � T B-Bag <br /> N'on iiazardous Sol] from — T •Truck f <br /> rrxcuvittiurt of undergruund 1:1i <br /> Loruge tans P-Pounds <br /> s <br /> Y-Yards <br /> ❑ El -Other I <br /> i <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260.10 or any applicable <br /> state law, Is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, I <br /> classified and packaged, and <br /> is in proper condition for transportation according to applicable regulations. <br /> ,Si natuta Shipment[Talo <br /> eneratOr Authorized AUMI Name <br /> 0 <br /> I <br /> X11$-G34-a65Q � <br /> Phone No. <br /> Truck No. <br /> Transporter Name <br /> f)J l lard Trucking, Ins: Driver Name(Print) <br /> � <br /> Address P.O. Box 2113 Vehicle License fJo.ISiate <br /> :? OS <br /> LiyrOn. California 94544 Vehicle Certificationi2�&4Z2�aT E <br /> hereby certify that the above 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 /> prar furs <br /> hipmRED <br /> tvEr taq SDrf er Signawra OeliuerY 4ate i <br /> i <br /> i <br /> Site Name <br /> i3.F.I. Vi1sru Road Landf f 11 Phone NO. =—E=4 f1 <br /> -tool Nerth Vnsco Rd., Livermore, Ca, 9.1550 <br /> s <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowled the foregoing is true and accurate. <br /> Nam-�r Authorized Agant <br /> nese; t Data <br /> signature <br /> PASSCODE <br /> BFI260-720 <br /> 10166 <br /> TRANSPORTER RETAIN <br />