Laserfiche WebLink
00 <br /> Waste No 10s784s - ' <br /> Systems "3PING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br />� ING-FERRIS INDUSTRIES <br /> IteratorName -Y' Generating Location <br /> ress - Address <br /> Ine No - Phone No <br /> 3FI Waste Code m - - - Containers Type <br /> Description of Waste Quant Units No T e D - Drum <br /> I <br /> ❑ C - Carton <br /> B - Bag <br /> T - Truck <br /> ' El ❑ P - Pounds <br /> Y - Yards <br /> Elm El - 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 transportation according to applicable regulations <br /> 3e r Authorized Agent Name Signature l Shipment Date <br /> or <br /> TRANSPORTER <br /> r1k No M Y - Phone No <br /> Transporter Name Driver Name (Print) <br /> kiress Vehicle License No IState -- <br /> ` <br /> Vehicle Certification <br /> certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> jeby <br /> a generator site listed above out incident to the destination listed below <br />)rW Signature Shipment Date Driver Signature- Delivery Date <br /> DESTINATION <br /> Site Name Phone No J <br /> Jess <br /> eby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> J of Authorized Agent Si nature Receipt Date <br /> PASS CODE <br /> ' OF1260 720 3193 <br />