ARCHIVED REPORTS XR0001498 - Laserfiche WebLink

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I 3-Waste- r _w _-_ �tF I_Acct .- No --1 009042-- --T— w---- No 907984- - 07-984- --_--IAL WASTE SPE - Systems TM A RpWNfNG-FERRIS INDUS'CfatES NON-HAZARDOUS � MANIFEST FEST • Mid Cal Lea_1nQ 1649 E . Channel St - enerator Name Generating Location ddress� - C Box 5510=3 Address _ Stockton , Ca . S":_nC V'tort . Ca - 95205 thone-No51 �— Phone No BFI Waste Code I 111 S 1 r 1 2 1 3 7 1 5 1 1 Containers Type Description of Waste Quandt Units No Type D -Drum C -Carton L�lesel Contaminated Soy i 3 8 F m T B - Bag ❑ m ❑ 'f-Truck ' P - Pounds Y -Yards ' Ll ❑ m F-10-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, 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 1s in proper &ondltiort.fof transpo ation according to applicable regulations aonv7i1rteharC ,,_1C 1 J , 1 "eneralor Authorized Agent Name Signature Shipment Date y r ��; �uck No Phone No X16 568--9315 M Envi rcnrpent a i Serv-tcec, I-->D " � ir` ��, Transporter Name Driver Name (Print) i Q dress 1400 �Yia oc� , Street X74 l ��C� "�_ Vehicle License No /State Pai P _,-f 1e ici - C; ?3�Cft Vehicle Certification tereby certify that the above named material was picked up f hereby certify that the above named material was delivered with- it the generator site listed above out incident to the destination listed below ,� )river Signature Shipment Date Driver Signature Delivery Date 1 • ','a:co Road Sanitary Landfill 7 l to Name Phone No - n 4 _ ' j i 1001 Vasco Roar L;ve-ry 3r F✓ Ca 91550 � dress �ereby certify that the above named material has been accepted and to the best of my knowledge the foregoing s true and accurate i r i Authorized Agent Signature Receipt Date PASS CODE �6 BF1260 720 GENERATOR RETAIN