Laserfiche WebLink
a Waste No 951662 <br /> Systems TM OU01 SPE <br /> BROWNING-FERRIS INDUSTRIES NON-HAZARuSPECIAL WASTE MANIFEST <br /> GENERATOR <br /> ANNO <br /> Generator Name L`C1C�L �IarkeI <br /> Generating Location <br /> Address P. a. Box 5155 Address 3788 Tracy Blvd. <br /> Sass Ramon, Ca. 9•.583 ff Trac% , CA <br /> Phone No ' 1 0 — 2 7 ; 2 "s 6 8 Phone No �— <br /> BFI Waste Code C A v 0 5 0 2 0 1 9 3 5 3 4 0 2 Containers Type <br /> Description of Waste Quanti Units No Type D- Drum <br /> mC -Carton <br /> >"___J__t_J <br /> El B - Bag <br /> Non Hazardous Soil ❑ E:] T -Truck <br /> P - Pounds <br /> Y-Yards <br /> 1:1 El <br /> m El <br /> 0-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 property described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations <br /> r <br /> CD2 V CAS [i=0 z 15 Lr I <br /> UmeWm Audwined Agent Name Signature shipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> rruck No Phone No. <br /> Transporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Pant) ' <br /> address P. o. Box 218 Vehicle License NodState -73 <br /> Byon, <br /> 73Byon, California 94544 Vehicle Certification <br /> hereby certify that the above named material was picked up I hereby certify that the above named material was delivered with- <br /> tt the g erator site listed above out Incident to thq destination listed below <br /> r <br /> +� t <br />!river Signature Shipm•rtt Date Driver Signature D"very Date <br /> J <br /> DESTINATION• <br /> ide Name B.F.I. Vasco Road Landfill Phone No 5 1 0 — 4 4 7 0 4 9 1 <br /> lddress 4001 North Vasco Rd. , Livermore, Ca. 4550 <br /> - � y <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> WEETt Aulhorrzed Agent Signature Reearyt Data <br /> qw <br /> PASS t:00E <br /> 0V8B BR260-724 <br /> TRANSPORTER RETAIN <br />