ARCHIVED REPORTS_XR0002422 - Laserfiche WebLink

Home Browse Search

,Waste No. !� Sy /��+� 9 .5927 ... i stems TM BROWNING-FERRIS INDUSTRIES i NON-HAZARDOUS SPECIAL WASTE MANIFEST GENERATOR Generator Name �� L'E:GDi)(2' L'�� '��1;1 Generating Location i 450 E. GRANrLaI1; ROAD Address Address SAME - 1 TRACY, CA 95376 SAME Phone No. 2 Q t 9 —18 3 5 9 Y 3 3j Phone No. 2 L0 1 9'1—=5 9 1 11 3T73] .9. .:BFI Waste Code d s d 1 1 Z 131113 3 �] Containers Typev- D- Drurri Description of Waste Quantity Units No. Type �, C Carlen CIO-, w/ d7�se 1 �' © 8 -Bag,, . T -Truc El Elk' - P - Pounds Y -Y3rds• � ❑ m ❑ O-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 pro pglhy described,." E classified-and packaged, and is in proper condition fo transportation according to applicable regulations. BOB FAMMM .PIAM �-v& U 1 o 2-16 T9 J Generator Authorized Agent Name , j Signature Shipment Date t « iTRANSPORTERr Truck No. � t� Phone No. Transporter Name �� 1�/' o t' Driver Name (Print) z4� f Address _ l rr �f 4.ted �-+ly Vehicle License No./Stat Vehicle Certification .1 hereby certify that the above named material was picked up I hereby certify that the above named material was delivered witl- at the generator site listed above. out incident to the destination listed below. i- ti � � z iv ign I e Shipment ale Drive ignatur Delivery Date DESTINATION, Site Name Phone No. �— Address 1 hereby certify that the above named niatedal has been accepfed and to the best of`my knowledge the foregoing is-true and accurate. A.-Ina of Authorized Agent Slgnature Receipt Date PASS CODE 10!136 BF1260.T. UNLOADING 'AREA COPY