Laserfiche WebLink
- TM <br /> �1��.7�17/aste.�!!{�y��[ q No. 957241 <br /> 3Roin�"yING FERRIS INDUSTRIESNON-HAZARDOUS SPECIAL ,< y�� , L MANS, � <br /> GENEPATOR <br /> ::i +,crni t Cedar Products California ''edar ProdnrF�: <br /> Generator Name Generating Location <br /> Address 12418 E. Locke Road Address 12418 E. Locke Road <br /> Lor.keford. Ca 95237 Lockeford. CA 95237 <br /> Phone No. <br /> t: 9 — Phone No. W�— <br /> - <br /> L`�J 4 0 5 0 2 1 2 9 3 4 9 9 9 1 Containers Type <br /> 8171 Waste Code D-Drum <br /> Description of Waste �uanti Units No. T�YY��.e, <br /> 0 0 loll 8 1' 0 1 I T I C-Carton <br /> 1L=JJ B- Bag <br /> 'SOI HAZARDOUS �1 � �--r– t ❑ T-Truck <br /> SOIL W P-Pounds <br /> Y-Yards <br /> Elm F1 -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 CFA Part.261 or any applicable state law, has been properly-described, <br /> classified and packaged, and is in proper condition f r'transporttion according to applicable regulations. <br /> �{ • C&V-6C 1 tw FG�� 0 2 1 6 9 3 <br /> Generator Authorized Agent Nems S re Shipment Date <br /> TRANSPORTER <br /> . 510--634-6850 <br /> Truck No. Jam/ Phone No. - <br /> Dillard Trucking. Inc. t <br /> Transporter Name Driver Name (Print) <br /> Address P. O. Box 218 Vehicle license No./State _3(r 7q Y <br /> Byron. California 94514 <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up I hereb certify that the above named material was delivered with- <br /> at the generator site listed above. out in I ant to the destination listed below. <br /> r0' �1 6 9 3Z�L <br /> D r Signature L Shipment Date Driver gn a elivesy Data <br /> DESTINATION <br /> Site Name <br /> B.F. I . Vasco Road Landfill Phone No. =-14 0 — 4 4 7 0 4 9 1 <br /> 4001 north Vasco Rd. . Livermore. Ca. 94550 <br /> Address �. <br /> i <br /> I t hereby certify that the above named material has been accepted and to the best of owledg th g is true and accurate. <br /> 42i <br /> i <br /> Name of Authorized Agent S nature Receipt Oar• <br /> PASS CODE <br /> t0r8e OF1260-720 <br /> TRANSPORTER RETAIN <br />