Laserfiche WebLink
Waste No s 5 i 6 R 9 <br /> Systems TM <br /> 1OWNINGFERRIS INDUSTRIES NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> GENERATOR <br /> Lv4CAL vatketing UNOCAL Stai-lc- "63-a <br /> enerator Name Generating Location <br /> Jdress P. 0. Box 5155 Address 3788 Tracv Blvd. <br /> San Ramon, Ci. 94583 Tracy, CA <br /> hone No I 5 1 0 -- 2 7 7 2 3 6 8 Phone No <br /> Ft Waste Code C A kl� 0 2 0 2 9 3 5 3 4 4 2 Containers TYPE <br /> Descnption of Waste Quanta Units No T1 E T e D- Drum <br /> C-Carton <br /> T B- Bag <br /> Non Hazardous Soil T -Truck <br /> 1= El -- ❑ P - Pounds <br /> Y-Yards <br /> El <br /> m D 0-Other <br /> I hereby certify that the above named matenal does not contain free liquid as defined by 40 CFA 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 /> of 0 Yt O ce,1 .mac. b Z 1 01-T I 9 <br /> ll <br /> arneratbr Authorized Agent Name Signature sh pnent Date <br /> TRANSPORTER <br /> 510-634-6850 <br /> ruck No Phone No <br /> ransporter Name Dillard Trucking, Inc. 1431/93 Driver Name (Print) <br /> Adress P. O. Box 218 Vehicle License NoJState mss. ! ! - <br /> Byon, California 94544 44 <br /> Vehicle Certification <br /> hereby certify that the above named matenal was picked up I hereby certify that the above named matenal was delivered with- <br /> t theenerator site listed above out incident to the destination listed below <br /> g� ' 1 <br /> Shipment Date Driven signature r- Delivery Date <br /> DESTINATION <br /> lite Name B.F.I. Vasco Road Landfill Phone No =44 1 4 7 0 4 9 1 1 <br /> 4001 North Vasco Rd. , Livermore, Ca. 4550 <br /> kddress <br /> hereby certify that the above named matenal has been accepted and to the best of my k wle ge the foregoing is true and accurate <br /> f Authorezed Agent 5 nature Racartn Date <br /> PASS CODE <br /> E <br />:0186 BFE260-720 <br /> TRANSPORTER RETAIN <br />