Laserfiche WebLink
-- .S No. . 91S94 <br /> Systems TM <br /> ROWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATORi <br /> h ,ria,• 7, ,_ �' <br /> tenerator Name 'r �` `C �'' C""'---``r Generating Location <br /> ddress 450 E. GMAMUM ROAD Address SAM <br /> 5 TPA,CY, CA 95376^. <br /> hone N8. 8 3 5 9• .3 phone Na. <br /> FI Waste Code C U S 11011 ,lqlq I Z1 13; Iq 1 13 101 Containers' Type <br /> Description of Waste Quantity Units No. Tpe D-Drum <br /> f y C-Carton <br /> Spil W/ �k'SE` d 1 B-Bag <br /> r <br /> T -Truck <br /> m ❑ <br /> P - Pounds <br /> Y-Yards. <br /> 0-Other::.-_ <br /> 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 and packaged, and is in proper con for t nsportation according to applicable regulations.&lr <br /> HC13FAGMIDES, PIANT rAN= f d Z b 2 i <br /> enerator Authorized Agent Name Signature Shipment Date <br /> TRANSPORTER <br /> ' <br /> ruck No. Phone Na .� <br />` <br />'ransporter Name` 55 G c TC l� �e L _ Driver Name (Print) Jess �z�t t Qf <br />,ddress % � ` Ut Vehicle License No./State d�a <br /> 1 Vehicle Certification <br /> hereby certify that the above named material was picked up I:hereby certify that the above named material was delivered with- <br /> t the generator site listed above. Put incident to the destination listed below. <br /> ! <br /> aa � <br /> Iver Sighature Shipment Date river ignature Delivery Date <br /> i <br /> DESTINATION <br /> ite Name Phone No. <br /> E <br /> ddress <br /> hereby certify that the above named material has been accepted and�fo the bastLn knowledge the foregoing is true and accurate. <br /> V27r:---i'ame ttwrized A ent.. St nature-. z. Receipt Dale <br /> PASS CODE <br /> 0196 • • SR260-720 <br /> • UNLOADING AREA COPY <br />