ARCHIVED REPORTS_XR0007612 - Laserfiche WebLink

Home Browse Search

Waste No Systems TM ROWNlNG FERRIS INDUSTRIES NON-HAZARDOUS oFE,,IAL WA5 i E MAki. EST GENERATOR tenerator Name LNOCA Market�n� Generating Location S address P. 0. Box 5155 Address 3788 Tracv Blvd., San R»tnon, Ca. 94583 Tracv, CA 'hone No ' ' 0 2 7 71 73 E Phone No _ _ F1 Waste Code C A = 0 2 1 0 0 2 2 9 3 5 3 4 Containers Type Description of Waste Quanti Units No FFFTB D- Drum C-Carton Ll [11 0 f - Bag Nose Hazardous Soil ❑ � ❑ T -Truck P - Pounds Y -Yards 0 El Eh O-Ether 1 1 :1 I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, classified and packaged, and is in proper condition for transportation according to applicable regulations � f� o c �� z-l D o :4(= aararailm Audv=ed Agent Nam � Signature Shontertt Date F TRANSPORTER 510-634-6850 _ ruck No Phone No ransporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Print) v Iv ,�d.c Wdress P. o. Box 218 Vehicle License NoJState Byon, California 94544 Vehicle Certification hereby certify that the above named matenal was picked up I hereby certify that;he above n material was delivered with- it the generator site move. out incident to jhe,destination lis below (___7 C = )river signature Shiprttertt Date D - Dalhrery Dag DESTINATION Site Name B.F.I. Vasco [toad Landfill Phone No 3 1 7 0 4 9 1 4001 North Vasco Rd. , Livermore, Ca. 4550 #ddress hereby certify that the above named material has been accepted and to the best of my kh' �regoing Is true and accurate OF i Authorized Agent Signature Receipt Dat PASS CODE 0188 BFt260-720 TRANSPORTER RETAIN