Laserfiche WebLink
'Il <br /> -1- - Waste =--, 8F-T Acct-- No-- 1009042--- - -_ - - No_907977- - -_-- <br /> rl Systems TM S E <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> F Mid Cal Least-ina 1649 E_ Channel St - <br /> Generator Name Generating Location <br /> 0 FJen 551 Cr^ <br /> Stockton , Ca <br /> Iddress Address <br /> .3tOiCkton Ca . 95205 <br /> Ale <br /> thone 'No =_ - Phone No �— -- - <br /> wtFl Waste Code I 1. Containers Type <br /> Description of Waste Quantit Units No T pe D - Drum <br /> D-ies-el Ccntafninared So- l { 8 [:1m 1. T C - Carton <br /> B - Bag <br /> T - Truck <br /> El m ❑ P - Pounds <br /> Y - Yards <br /> ' ❑ mElO- 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 />�i 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 transportati n according to applicable regulations <br /> flni,a� d K Rine6 rat t <br /> / `w — - <br /> enwator Authonzed Agent Name Signature Shipment Date <br /> R7b� �� �M q}s�hen F'µ� �t+ TsirIf <br /> 1 9 4 WH � { �Tq t,a � L..j da "5}s'fn ✓..A�'a^ R�+a TN � r <br /> . �� - i=} 916 663-'9316 <br /> 1r'uck No f Phone No <br /> , <br /> M P Fnvi r onment-al - r <br /> Services <br /> Transporter Name Driver Name (Pring '> J s <br /> Iddress Vehicle License No/State <br /> P-2, of i;-= Io Ca 933C�Y <br /> Vehscle Certification <br /> lereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> it the generator site listed above out incident to the destination listed below <br /> neer Signature Shipment Date �.Dn,ier Signature j DoWery Date <br /> r _ <br /> VascO hoad Sane Lary Landf-, 1 l <br /> to Name Phone No <br /> 4 C_j0 1 -Va_Co r,,oad L 7 Vei^mcnr c-- Ca _ 94 550 <br /> ddress <br /> ereby certify that the above named material has been accepted and to the best of my knowledge the foregoing s true and accurate <br /> f AuthonzedA ent <br /> Si nature Receipt Data <br /> PASS CODE <br /> B6 6F{260 720 <br /> GENERATOR RETAIN <br />