Laserfiche WebLink
Pn�iWaste No 951682 <br /> Systems T' NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Generator Name LNOCAL Marketing Generating Location uNocAL Station !6348 <br /> Address P. o. Box 5155 Address 3788 Tracy Blvd. <br /> San Raison, Ca. 94583 Tracy, CA <br /> Phone No : 1 0 — 2 7 7 2 3 6T8 Phone No <br /> BF] Waste Code C � 0 2 O 2 9 3 5 3 w 0 2 Containers Type <br /> Description of Waste Quanti Units No T e D- Drum <br /> C-Carton <br /> FTK 510 T B- Bag <br /> Non Hazardous SoilT -Truck <br /> F-71 D <br /> D <br /> P - Pounds <br /> Y -Yards <br /> ❑ W ❑ O-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 /> F <br /> a� U•► " <br /> orator Authorized A e�iame signature 5h�pment Dam <br /> TRANSPORTER <br /> 514-(:3"850 <br /> Truck No, Phone No <br /> Transporter Norrie 0iltard Trucking, Inc. 1431/93 Driver Name(Print) n. <br /> Address P: 0 Box 218 Vehicle License NoJState !e52 7Lry a <br /> Byon, California 94544 <br /> Vehicle Certification <br /> I hereby certify that the above named material was picked up I he ertify that the above ed matenal was delivered with- <br /> at the ge erator site Wed above. out i ent to the d= b ed below. <br /> Z 3 <br /> Signature Shipment Date / 5 natureDeirnry Date <br /> DESTINATION <br /> Site Name B.F.I• Vasco Road Landfill Phone No 5 1 0 — " 4 9 1 <br /> 4001 North Vasco Rd., Livermore, Ca. 4550 <br /> Address <br /> ereby certify that the above named material has been accepted and to the best of my kn wled l Deg <br /> rue and accurate <br /> Name of Authonzed Agent Signature Receapt Dat <br /> PASS COCc <br /> BFI260 720 <br /> 10186 <br />