Laserfiche WebLink
Waste RFj ar--: 31:0 1009042 No 906024 <br /> Sy.c.- temS TPA <br /> FROWNING-FERRIS IN-USTRIES N ON- <br /> HAZARDOUS SPECIAL WASTE MANIFEST <br /> • <br /> yid C�l LC-�a5-ina Ct _ <br /> generator Name� Generating Location <br />�ddress P J 5510? Address Stockton Ca <br /> hone No ]� Phone No <br /> 3 ` Containers F! Waste Code D� ' 2 CtType <br /> Description of Waste Quantit Units No T pe D - Drum <br /> C - Carton <br /> E B - Bag <br /> r T -Truck <br /> ❑ W ❑ P Pounds <br /> YYards <br /> ❑ m El other <br /> 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 aQy applicable state law, has been properly described, <br /> classified and packaged, and is in proper cphjJition for transpo ahon accybr�oing to applicable regulations <br /> Y <br /> nerator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> /l G� <br /> / C/ / I r <br /> luck No Phone No <br /> I`5 Y C', i �''O i7 r� c 11 r o I ;'+c f"'V l � 7 <br /> ransporter Name �- Driver Name (Print) <br />[dress 4 0 0 Ma r,`-D r• c r ee r- Vehicle License No/State <br /> B a ke-=; ' l d C a 9 3 3 0~ Vehicle Certification <br /> lereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> t the g nerator site listed above out incident to the destination listed below <br /> Iver Sig "re Shipment Date Dnver Signalur Delivery Date <br /> DESTINATION <br /> e NameVas°o Woad Sanitary t_ard f > 1 Phone No 0 — 4 7 3 1 <br /> ddress _c F._at_1 3• Sal <br /> IerebY <br /> certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> Authorized A ent Signature Receipt Dale � <br /> ?ASS CODE <br /> 6 ©II'�bU 'u <br /> —_ _ GENERATQ,.P RETAIN <br />