Laserfiche WebLink
Waste�y - , No 1125874 <br /> TRRYSst� 4BRowNtNoINo� ;Bs $� -NON-HAZARDOUS SPECIAL WASTE MANIFES <br /> Generator Nannie �'� O PRODUCTS Generating Location ARCO STATION 02130 <br /> Address`P-0. Sox 5811 a - Address 7906 N. El Dorado Street: <br /> --- San .lateo, CA 94402 -- Stockton. CA <br /> Phone No 5 1 7 1 2 1 4 1 3 1 4 Phone No <br /> BFI Waste Cade 4 "LO L5 0 T9 O 9 9 1 3 k 0 2 2 1 1 Containers Type <br />' <br /> Description of Waste Quantit Units No Type D-Drum <br /> C -Cartor <br /> NON IiAZAI.DOt;S SOIL 0 0 0 1 8 Y❑ F T $ -gag <br /> T -Truck <br />' Y <br /> -7 4 _ _ ` ❑ m ❑ P -Pound <br /> i d <br /> _r ' ,r Y -Yards <br /> El F-1 O-Other <br />' ~I hereby certify that-the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable <br /> 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 (ind packaged, and-is in proper condition for transportation according to applicable regulations -- <br /> ttwrized ent Name-..- -_ -�.•�..�.-- -- - - � _ _ _ y � � <br /> Generator,Aa <br /> �Ag --�- --,Signature� - Shipment Date <br /> TRANSPORTER <br />' Truck No__ - -- = =Phone No (510) 634-6850 <br /> Dillard Truckingw- Inc. 1004/35 - _r <br /> Trans�aor�er Nam@ f Driver Name (Pant) ieo^j <br /> f P.O. ^Box 218 <br /> Address -_ - -Vehicle License No/State ,. <br /> Vehicle Certification - v 7 <br /> 11.hereFy certify th$f the above_naM_6_d material was picked up I hereby certify that the above Aamed matenal was delivered with <br /> at the erator site f ve I- - out inciidd nt to the deist tionAisted below - - -- <br />` rE"r signature, 'f _ v-� Shipment Date river ignat re Delivery Dat <br /> DESTINATION <br /> 3 B.F.I. Vasco Rd. Landfill P.O:# 02-10055 5 1 O <br /> He Name Phone No <br /> 001 forth Vasco Road. Livermore, CA 94550 <br /> the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> Ave 15-1W!2L�t <br /> Signature Revel t ate <br /> PASS CODE <br /> 6F1260-720 2 <br /> ir' s�►'` .: - �_, TRANSPORTER RETAIN <br />