Laserfiche WebLink
A o i <br /> r� <br /> S 1 <br /> Waste.' No. 1 T <br /> C �w.w _915936 <br /> Systems ;M <br /> BROWNING-FERRIS INDUSTRIES NON HAZARDOUS SPECIAL WASTE. MANIFEST <br /> GENERATOR <br /> Generator Name DCANT' 1` 'J <br /> Generating Location <br /> Address 450 E. GRAN'iZ. NE ROAD Address SANE <br /> TRACY,CA 95375SAME <br /> Phone No. 2 0 g 8 3. 5 9 'J' 3 3 µPhone No. 2 9 <br /> BFI Waste Code 14 D Containers Type <br /> Description of Waste Ouantity Units No. T ppe D- Drum' <br /> JEI^ I C-Carton <br /> l T B - Bag <br /> T -Truck h <br /> P -Pounds <br /> Y-Yards - <br /> ❑ m ❑ O-Other <br /> I hereby certify that the above named material does not contain free ligyid 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 281 dr-a •- icable state law, has been properly described, <br /> classified and packaged, and is in proper condition forttr portati�n according to applicable regulations. <br /> F 1�,_r_rArrMUMGM <br /> y C� Lrrylf� Z 6.: 4 Z <br /> Ge—alor Authorized Agent Name Signature Shipment Date <br /> f <br /> TRANSPORTERAw <br /> Truck No. '1 r - Phone No. <br /> Transporter Name C, Driver Name (Print) -e <br /> (2j <br /> Address !1r Vehicle License No./State <br /> Vehicle Certification <br /> I hereby certify that the a ave named material was picked up I.hereby certify that the above named material was delivered with- <br /> at h er <br /> genator site listed a ve. out incident to the destinati n listed below. <br /> CCC/// <br /> r <br /> e tura Shipment Date r r� DeliveryDale . <br /> l <br /> DESTINATION <br /> Sile Name Phone Na. --- j <br /> Address <br /> - t <br /> ,,t hereby certify that the.above,named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> e of Authorized Agent Signature r Receipt Date <br /> \ PASS CODE <br /> SF1260-720 <br /> UNLOADING AREA COPY <br />