|
v - ,.._tx.ti �.�"-fir': �'�:.•���
<br /> y`�r`,— -Z K����_ L1.S=am Yl-`T"" iv�t> -''�t���.�e asr `R 4i.0 -�'i r"��`;i'^� a'^< j r ,r'✓•
<br /> �M r»
<br /> -•` IX r�jCn. Z �+ r »ti #
<br /> M� S% "' j i^ �.✓` '� �` ra..
<br /> a. •"`
<br /> •� r4`.�l'' c- y r 'C� �, .,r Vie.. �]�� -
<br /> C P T �; V '-V �/hc r'{
<br /> +fw d�• ly,i,r "kms 4 Z'
<br /> C P,y =,rw' i
<br /> � S�V mTM_�7��_4^ ,• _ �1��•, ��7 .. � s, +' A _-s i y''4 � �4"� d'�• •' 1
<br /> .S IND
<br /> GENERATOR
<br /> V . , Y4. ��.4 d r'n" E S;b•��`t 3 «fir
<br /> [1 �St W . era
<br /> At) r�yiaw L �l"i S `rile?r • N¢ * r'ib..1 �gdress _ 7.-+ra4'Li-.. v H'YC�� ;�,� ;rt �1n'�rd y ' S �'`�`s*'• ' .~ .•'�ywy ••7yU r„ �..�"r.�� �:-�'. S •�,
<br /> + ,•.,� `ti$f7* Vlf; til, �l,�,.�..-f ..v T�f r s ,4.-.x ,�
<br /> A t� r�� � � w�^ ♦ i'.y Y„C~T .,- Ora �- r
<br /> =t`
<br /> 'Ph �1 � � r- �J• on��lo�.- `_
<br /> a�
<br /> one ti
<br /> �r
<br /> r - _.� •. V. � "'fit •�"r � x • r R Yo it - tiS w�! ,.< �
<br /> II
<br /> 8�1 Waste' D'
<br /> `Y6 '2. 2- so!
<br /> ` Tr Descri [on of Waste = Qdartti -'Units t'dQ. Ca L4
<br /> '��^a'._,�O _SOIL ,-
<br /> K-fro ti tr4 ." Tex z =-'�`Y�+y,.,^�` r }'-C+ a"t�+s,'y` , ' 4� J•• SFS.-': M, k y C C
<br /> ,., �
<br /> r •��Y�` T �����« � r �+''O-s„�4 i y � tT-\ lta�.f ;�-y�Zsr^ 'y 37,'}r�ard5
<br /> or
<br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 90 1Dr_*1)*ppilcable
<br /> state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has beenprovet-0PSCftide;~
<br /> classified and packaged, and,is In proper condition for transportation according to applicable regulations, �'�,. e p
<br /> CaenefBlOf riz�tll er>x a r"r� Oft.Signawr@ 11'Y'.^'•F.•` a
<br /> -ri _:� 3r til • '.cam;..�' r -e v 7 _.i-?' ;'=v xe'�7 ` ` 'ti ' =—4 L f+ r�§��_�as 4;41 r ; r, 'r
<br /> Phohe`NoTruck No. ^ �. , ` ©
<br /> f
<br /> 41
<br /> 77
<br /> -
<br /> t Ync. 1004/2I
<br /> 'Dillard 7r
<br /> Tansporter- ame Driver NamePnrt)
<br /> ' r `P.10. Sex, 2118 - ` p.` -Address - - Vehicle License I�o.lState
<br /> Byron, CA 94514 Vehicle Certification d
<br /> ' t hereby certify that the above named material was picked up I hereby certify that the above named iinater;�al watts delivered wit
<br /> at the-generator site listed above out incident to the.destination listed below ,.%� `
<br /> Driver Signature Shipment Dale Driver Signature peiivM Date
<br /> DESTINATION
<br /> A.F.I. Vasco Rd. Lardfi32 r.0.002-10028 Phone No 5 1 0 4 7 �S 9
<br /> Site Name - -
<br /> ' Address 4001 'North Vasco Road, Livermore, CA 94550
<br /> I hereby certify that the above named nilgerial has been accepted and t6,the best of my wie a the foregoing is true and accurate
<br /> - - a
<br /> Name of Authorized Agent Signature___
<br /> y Recel Date
<br /> t
<br /> PASS CODE
<br /> BF1260-720
<br />
|