Laserfiche WebLink
s <br /> r Waste No 9 %5 1 <br /> r <br /> SyStG'nS TM <br /> iOWNING-FERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> r <br /> -`r. ' L .iC'xcrC _ k <br />�nerator Name Generating Location <br /> tdress P• 0. Bok 5155 Address 3788 Tracy Blvd. <br /> Sdri Rainc,i, Ca. 9"583 Tracv, CA ' <br /> ione No =—I 4 — 2 S 6 8 Phone No -- <br /> 9 Waste Code C A _ C 0 2 0 i 9 3 5 3 . 4 2 1 Containers Type <br /> Description of Waste Quant, Units No Type D - Drum <br /> C - Carton <br /> a 0 Z <br /> El <br /> B - Bag <br /> Non Hazardous Soil I I I T -Truck <br /> ❑ m ❑ <br /> P - Pounds <br /> Y - Yards <br /> El <br /> 1:1 <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 properly described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations <br /> FO D I-Z_ I , I z[KE� <br /> nerator Autfmmed Agent Name Signature - Shipment Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> uck No Phone No <br /> ansporter Name Dillard Trucking Inc. 1431/93 Driver Name (Print) - <br /> idress P. 0• Box 218 Vehicle License NoJState3 E— J �_ f' <br /> Byon. California 94544 3 c---,) �,-",/ i <br /> Vehicle Certification <br /> fereby certify that the above named material was picked up I hereby certify that the above named matenal was delivered with- <br /> the generator site listed above out incident to the destination listed twe <br /> ver Signature s' f ShpneM Date Driver Signature r f Delfveq Date <br /> DESTINATION <br /> to Name B.F.I. Vasco Road Landfill Phone No. 3 I 0 --" 4 1 4_1_7-1 4 9 1 <br /> 4001 North Vasco Rd. . Livermore, Ca. 4550 <br /> id ress <br /> fereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> Authorized ant re <br /> /�� <br /> �- Recce <br /> MOW <br /> PASS CODE <br /> lee O F1260-724 <br /> TRANSPORTER RETAIN <br />