Laserfiche WebLink
PWaste --_ - � ==Y- r—tY� n i1 Q fS =`� -� -- ' _NO g 0 6 0-3 0-,i � - <br /> I1'80WNING-'FERRISSfstems ', NON-HAZARDOUS SPECIAL WASTE MANIFE`T <br /> I' K1id "F 5t <br /> generator Name - Generating Location <br /> ddress p C So- 5F 10Address Stcrckt:Dn Z. <br /> -lhon�e' <br /> e No �.J - Phone No __T <br /> _ v 5 Containers' Type <br /> ,FI Waste Code D Dru n <br /> Description of Waste Ouantity Units No T pe <br /> C - Carton <br /> B - Bag <br />'' ❑ m ❑ T Truck <br /> P Ponds' <br /> I��IIII�}jjI Y Yards <br /> TF ❑ �1 J ❑ QV 01her '.r t <br /> ,I hereby Y certif that the above named material does not contain free (squid 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, <br />' classified and packaged, and is in proper condition for transportation ccording to applicable regulations <br /> 1 , <br /> 4 <br /> 7Cr)aId IN � 1ne a1^T ��r� �, 1 4� - � { � �- <br /> en rator Authorized Agent Name Signature Shipment Date <br /> luck No, , Phone No <br /> , '' r <br /> ansporter Name ft P F' '`�, '- r r - - i `G 1- 7 a Driver Name (Print) Vim! i i/1 s 1 l`'`r�� <br /> ddress 0 r'3=I:-iar_ _ .r=� ` ' " - Vehicle License No IStater2 <, `7 7 S YT - 14/9'iF UG_5 <br /> F <br />' E €-Grf e1 w r ��i4 <br /> Vehicle Certification <br /> ,hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> the generator site listed above out incident to the destination listed below <br /> rver ignature Shipment Date Driver S gnature Delivery Date <br /> DESTINATION <br /> low <br /> to NamVasco Road' w,�i t ,,; L�r,df 1 - Phone No i 0 . — 4 4 7 4 ,„g jl <br /> 400 , Vasr:ot „f 4 ry <br /> I r c <br /> ddress L <^rcl a r S <br /> I <br />�rere1by certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> f 1 1 j I b I <br /> of Authorized A ent <br /> Signature Receipt Date <br /> MEW- <br /> PASS CODE <br /> r ,BFI260 729 <br /> J` <br />