Laserfiche WebLink
y <br /> rWaste. 9VI Acct . No- 1009042 No 907980 <br /> Systems V <br /> OWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> fV "d CciI L,. ,= g 1649 EL'lsar�it� I �� <br /> Generator Name Generating Location <br /> I" f7 f�ox 5 5 1 t)i s t.Co c l�C.J ri , � q <br /> dress Address <br /> st -3cl.t C_r) , Ca 95205 <br /> 1 <br /> gone No � Phone No � Ll <br /> — <br /> I Waste Code 1 41 9 1'3Containers Type <br /> nPqe-irwition of Waste Qua nUt Units No Type D - Drum <br /> t) 1 s l ContasmIllate d SC711 1 3 �+� I' t C - Carton <br /> I.J B - Bag <br />' T -Truck <br /> IT-= ❑ ❑ P - Pounds <br /> Y - Yards <br /> F-1 m O- 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 /> slate law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in prop e c nditionM transpoing to applicable regulations <br /> IBJ h F)eIla rt <br /> aerator Authorized Agent Name Signature Shipment Date <br /> • - <br />'uck No 2- _ U J 9 1 6 668- 9316 <br /> Phone No <br /> M P Ery v t r onrriei�to l fit✓r V 1 i C�" IGt/ <br /> transporter Name CDever Name (Pant} <br /> �el l3 ti Cfl.�r�r,r� Street <br />[dress Vehicle License No/State �f/C / V� <br /> r]��I��ryF�alc.l , C� 933CJt3 <br /> Vehicle Certification <br /> tereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> it shy generat/sitisted Bove out incident to the desti ion listed below <br /> /��z / z <br /> rive f ig aWre Shipment Date 5river SigKature Delivery Date <br /> DESTINATION <br /> V6 � -0 Road Scar, ) tatty t br-td t 1 1 1 <br /> to Name Phone No <br /> 4AJ01 Va,co Road , L -iver n��r� , Ca X1550 <br /> ddress <br />�lereby certify that the above named material has been accepted and to the best of knowledge the foregoing is true and accurate <br /> Author zed A eat0 Si nature Receipt Date <br /> PASS CODE <br /> 11136 <br /> _ SF1260 720 <br /> UNLOADING AREA COPY <br />