ARCHIVED REPORTS XR0001475 - Laserfiche WebLink

Home Browse Search

Waste No 906037 OOWNING-FERRIS INDUSTRIES BSI Acct . No_ 11009042Systems TMNON-HAZARDOUS SPECIAL WASTE MANIFEST A • mid Cal Leaning ib4y E Cl,arrtief St- Generator Name Generating Location dress P C1 Box 5!:) 103 Address St_ccktcin , Cm `_7k kIr on , Ga 99205 [one No 4 0 - 6 0 9 Phone No Waste Code LTJ 1 0 1 8 9 ? 4 Containers Type Description of Waste Quantity Units No T pe D - Drum C Carton 117e.si✓1 Contafti-inat-ed Soo I El m B - Bag T -Truck ❑ W ❑ P - Pounds Y -Yards Elm El Other 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 c nditlontransports on acro ding to applicable regulations nerator Authanzed Agent Name Signature Shipment Date TRANSPORTER1 1 / I 'ruck No �(} -2 _J7� 9 S Phone No '316 66t3 9 3 f 6 Transporter Name M P F n v-i r cn me n t a I Ser v ' C EL, Driver Name (Print) Iddress f 4 0 0 Ma r),,r t^e et Vehicle License No/State C�a I e r S t -I e I d , C a `.3 3.3 0 is Vehicle Certification hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the generator site listed above out Incident to the destination listed below Driver Signatu sr� Shipment Date Driver ignal Delivery Date DESTINATION rte Name '�a °�Ic) Road ')on-i to i-arida- i 1 I Phone No `� I 7 0 4 ddress 1601 Vasco Road Liverinc,re , i, c,, 1j411b0 hereby certify that the above named material has been accepted and to the best <now5�pedge fo"regoing is true and accurate f Authorized Agent Signature Rec t Dat f'A55 CODE 10/86 / l Itt�ff�l 6F1260720 !!!!!! i//> ! U N LOADING 6Af�.A