Laserfiche WebLink
' 01/2412005 15 01 9256340931. DILLARD TRUCKING PAGE 18 y <br /> I <br /> NONHAZARDOUS WASTE MANIFEST <br /> PlCgse prim or ty„g Form dga nep for use on eHM(f9 Pitch) rihar) <br /> NON-HAZARDOUS , �e �iprslls�alpf 0 0 9 A S Z Meniio<i <br /> WASTE MANIFEST JL L V q+No 9 0 1 3 2 Pay`f 1 <br /> •� } 9s*•V V Mnlling hdd��9p <br /> 01 <br /> Law po mm Go"M <br /> a.L=T— Q► 91,3240 �'!"�p: lf`'l�eR�=S 'T-ACf CAM <br /> Rrfltorr Phone( (714)67a—'.�303 Ing GO10203 <br /> s <br /> 'u' SSiIC4. ° C �15 A ; 3 A staEcTM apariarsID <br /> 7 Transporter 2 Comsany Nara• 9 Tmism ttet 1 Phone <br /> 9 US EPA ID NumBnr Q StgfeTrnnsportarA ID <br />' Sone <br /> �teRle and SUg Adtlraas D Tmnaporinr2Ph <br /> 1Q us EPA Ip Numbar <br /> 40�irr�02 f. 1T"Ico 1�D E WNA Fndlnars ID <br /> Li XIWAW / YM� 1 <br /> F ' i'�7-0i91 <br /> I 1 WASTE aE9C14IPTIpIV <br /> 1? cOnramgra ,3U <br /> NO <br /> Tome• r Type ouantIly <br /> 8ol <br /> "D p <br /> R <br /> A <br /> T <br /> 0 <br /> R CL <br /> i <br /> � r <br /> o Addhipflef D-crlpr-ion6 fer a Limed Ap <br /> 1y114• [J� tfWH Handsrigcomsfor WasreslJafedAboe <br /> d8�n <br /> 15 <br /> ad Arkq <br /> Job 1-306 V" AV= 280 o n1�sL t11 <br /> 0 <br /> ISOEuAWtfiAVFICAVMAVJffAWAWAW <br /> In frroper egnglpon for treneporf mnt9ffeledw pp�ed an ! nM�ee!—.0�rnern Are lulh nntl aeourately tleacrlbed said ere to Rff r <br /> npt eu OM to ndaral ha%ardouS r niBla rog�ssons <br /> Poo amn I <br />' Hra,r� ol�y Year <br /> � f7 Trarl9pprlM 7 Adlnowledgernen!of Rgoalpt ei M(,tlerleiF <br /> HP of Mam <br /> tilpaafu {lain <br /> V orate' Day ear Q 19 renaporter 2 AckMWledygmenl of flaCBipt pt Metanals <br /> EPnrngp/Typed NelTx1 <br /> {q signature Darn <br /> 19 pfvlOhfh O;wy Yaer <br /> F, lacrrnairxy InplCatEOn Gpeco <br /> A <br /> C <br /> r 20 FHGIINOwnOrOrOCGrA10r C�i}lcElirnOfr <br /> �r+tpt ar irig wasfa matengla oavgretl dy this manliest ox <br /> repr as nolaa in Ilam,a <br /> r PnntglyTVPad Nang <br /> Y s�,ure Data <br /> Ma�rh Dc y Ya„ <br /> CP14 A^hoz r�ELISIASTFR4U f�o)1215.,m wwlnbahawaletcom �y <br />