ARCHIVED REPORTS XR0001498 - Laserfiche WebLink

Home Browse Search

Waste - T = Acct--No-_- � 0�� - -� No - - - - _-- 9797 TM NON-HAZARDOUS SPECIAL WASTE MANIFEST ioSystems BROWNfNG-FERRIS INDUSTRIES GENERAT 0 I. Md Ca-1 teasing 1619 E_ Channel 'St - Generator Name Generating Location 0 Box 55103 Stockton , Ca ddress Address S>ugCktrn , ca95205 thone 4 111 - P No �� Phone No 1 - t Waste Code 3 1 7 4 5 1 Containers Type F � Description of Waste Quantity Units No T pe D - Drum UI esel Contam-i nated Sol 1 C - Carton '# � ❑1 m T B - bag ' T -Truck ❑ m ❑ P - Pounds Y -Yards l ❑ �W^-� El Other I 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, 1s not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, ' classified and packaged, and 1s in proper condhtton for�ransportatlon accor 'ling to applicable regulations Donald K Rinehart ✓ - 46ii gent Name Signa�tur+e Shipment Date 4 s 5 `� 7146 0 „ a �C.' ,�, lvl 'n,t d. ' C p o 51, x r � " � h ,"r n�, 3� ��'�i �4�^ r y� -'CrK` �. � ruck No �L �igG _ ' _- -,� Z. Phone No - M P Environmental Services ransporter Name Driver Name (Print) `Jr 3'lr'0 t�la�iot• SYreet ddress - Vehicle License No/State — t-)0LtrsfIeis r 9 _ ??OE' Vehicle Certification [hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- at the generator site listed above out incident to the destin tion listed below C Driver Signature Shipment Date DI Sign t r�- Delivery Date t O Vasco Road Santtary Y n - , 1ite Name Phone No ��—Landfill - FT 1 ddress 4001 Vasco Road . !ivermpre Ca a 550 lereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate R.6f Authorized A ant Si nature Receipt Date PASS CODE 186 BF1260 720 GENERATC -? RETAIN