Laserfiche WebLink
CORRTCK ErMRO <br /> EMPTY PAINT CONTAINERS 1. Generator's US EPD ID No. 2. Page 1 of <br /> BILL OF LADING <br /> (CCR-66261,7) <br /> 3.Ge erato Name and Mailing Address <br /> �� <br /> I;. 011 S unTime In <br /> L j0 r'�IAO ' ���v� 1^v c-lk-)o Time Out <br /> 4. Generator's Phone ��ri�'.•t S 4:) <br /> 5. Transporter 1 Company Name 6. US EPA ID Number A. Transportet's Phone <br /> CORRICK ENVIRO SERVICES CAR000217711 (562)591 -8209 <br /> 7. Transporter 2 Company Name 8. US EPA ID Number B. Transporter's Phone <br /> 9. Designed Facility Name and Site Address 8. US EPA ID Number C. Facility Phone <br /> SA Recycling C171000000355 (310)835-7291 <br /> W Corridor Recycling CAL000250353 (310)835-9109 <br /> O <br /> ll-- <br /> Waste Shipping Name and Description 12 Contalners 13 14 <br /> W No Type Total Quality Unit <br /> Z WWol <br /> � a. <br /> 55 GALLON DRUM (S)OF EMPTY PAINT CONTAINERS l 7 C)o <br /> a. <br /> NUMBER OF PAINT CONTAINERS SCRAPPED <br /> a. <br /> NUMBER OF PAINT CONTAINERS REFUSED <br /> a. <br /> EMPTY 55 GALLON DRUM S <br /> U. materials a went m o generators hazardous wase drums E_ Handling codes for Wastes listed Above <br /> n <br /> ff <br /> sandGALLONSQUARTS PINTS <br /> -.__---_,.-. . - _. <br /> 15. Special Handling Instructions and Additional Information <br /> V <br /> d _ <br /> 16. GENERATOR'S CERTIFICATION <br /> Printed/Typed Name .. Signature <br /> ` _ Month Day Year <br /> 17.—t,.nspcfrter 1 Acknowledgement of Receipt of Materi Is -: <br /> Printed/Typed Name Sigpature Month Day Year <br /> Corrlck Enviro Services <br /> 18. transporter 1 Acknowledgement of Receipt of Materials <br /> Printed/Typed Name Slghature Month Day Year <br /> 19. Discrepancy Indication Space <br /> 20. Facili Owner or Operator: Certification of Recei t of Waste Materials covered b this manliest exce t as noted In item 19 <br /> Printed/Typed Name Signature Month Da Year <br />