ARCHIVED REPORTS XR0001498 - Laserfiche WebLink

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r I Waste - --w--- - �F�--,� :-�o-, �a 2-- --- -_- 90G033--�-- Y 1!O'Systems TM ROWNING-FERRIS INDUSTRfES NON-HAZARDOUS SPECIAL WAS E -MANIFEST fel L_eas-ina 1649 E Channel Sr= _ generator Name Generating Location r u Dox 5310 Address Stock-can , Ca - 'cidress hone No Phone No FI Waste Code _ Containers Type ' Description of Waste Quantity Units No T pe D - Drum - ❑ m C - Carton r frta '-1 DEQ jr B - Bag ❑ m ❑ T - Truck P - Pounds Y - Yards ElW 1:1O Other 1 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 condition for'#Tr+sportatioR according to applicable regulations i s Ponald K Rinehart jer2tor Authorized Agent Name Signature Shipment Date .5 '244st tck No Phone No 16 68-9 16 f ronrpental 'el'v- Ge ransporter Name Driver Name (Prtntl dress 0 Q t:r E=c-r_ _ Vehicle License No /State Dakers:fieiJ Ca 53208 Vehicle Certific tion lerebythat the iSove nam�&m4tenal was picked up I hereby c ify th t the ab a named material was delivered with- the enee'ator site li d above out +acid nt t he destr tion listed below l EFE el-I fJ Y wer Signature Shipment Date +Driver Signature Dalwery pato I , , S 0 O F r '�, a I aiN Name Vasco Road Sanitary Landfill 7 � 0 Phone No �— 0101 V a dress ' i �reby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate E Authorized A eg nt Sgnatura Receipt Date PASS CODE E eFizso azo GENERATOR PETAIN