Laserfiche WebLink
f Wc1ste t .r No.. 1 915��4 5. <br /> Systems TM _ WASTE MANIFEST <br /> BROWNING-FERRIS INDUSTRIES .NON HAZARDOUS SPECIAL AS <br /> GENERATOR <br /> i)C;u�t�E :�:ZiI�Cs"a Lr: �;F':�.•FI :��,;1,1- <br /> Generator Name Generating Location <br /> Address 450 E. GPANI= FaM Address SAME <br /> TRACY" CA CA 95376 SAME _ <br /> _ y' <br /> 0. . 3. :5: , Z. . 3. •,3 �.3 <br /> 'Phone No. gPhone No. <br /> BFI Waste Code <br /> C �( O S r' O ti 4 Z 3 3 y U Containers Type Description of Waste QuantityUnits Na. Type D- Drum <br /> © C-Carton <br /> B - gag. <br /> s f T -Truck i <br /> D <br /> ELI ❑ P -Pounds <br /> Y -Yards <br /> 7_1 <br /> F-1m ❑ 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 and packaged, and is in proper condition for tr sportation according to applicable regulations. <br /> PTANT MUZGER4 <br /> FAGUNTES �0 ' . Q E 0 1 Z_ 6 Z <br /> Generator Authorized Agent Name Signature If Shipment Date <br /> TRANSPORTER <br /> Truck No. L Phone No. <br /> VS J�l Driver Name Pt -t ^r'� <br /> Transporter Nam f„� <br /> �, / n / <br /> Addres �kticlol3nse o:lState <br /> xf Vit{: <br /> Veh1 a C�etttfication <br /> a � <br /> I herebycern that the above named material was picked up ereby certify.that the above named material was delivered with- <br /> certify <br /> 4,i,, n <br /> nerator site listed above. ut 'dent to the destination listed below. <br /> .W-40I o I f <br /> ture Shipment Date r n De lust ate <br /> DESTINATION <br /> Phone No. <br /> Site Name <br /> Address <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> . i <br /> ':ry , ^ °ot Atithorized A ent - >-sl nature. Date <br /> Receipt <br /> PASS CODE <br /> • SF1260-72C <br /> 10!66 <br /> • UNLOADING AREA COPY <br />