HomeMy WebLinkAbout2024-06-19 Non-Hazardous Waste Manifest - Grease Interceptor - Walmart Manifest#24061303711
ENVIRONMENTAL
SOIUTIONS LIQUID ENVIRONMENTAL SOLUTIONS
Reliable Inmvr/hvrt
NON-HAZARDOUS WASTEMANIFFST
Name Contact Name
SUPERCENTER#1861
Address Phone
5815 NORF7.1 AVE 6514397476
City.State Zip County
STILLWATER,MN 55082
Customer# Profile 4
42415900062 #N/A
Tank el(gallons) Tank 42(gallons) - Service Frequency
2000 1000 12
Tank"3(gallons) Tank 44(gallons)
0 0
Generator Certification:I certify the waste material removed Yam the above premises does not contain any radioative,flammable,explosive,toxic or hazardous material("Excluded Waste").The
ietn"hanrdous","materials'is defined as any one or more pollutant,toxic substance,hazardous substance,solvent or oil as defined in or pursuant to the Resource Conservation and Recovery Act,
due Comprehensive e Environment Response Compensation and Liability Act,the Federal Clean Water Act,or any other hderal state or local envimmental law,regulation,ordinance.or rule,whether
Twisting as of the date of this apeman or subsequently enacted.I also acknovvtege that the Generator shall he responsible fir any costs incurred by the Transporter or Disposal Facility in handling or
proper disposal of any hazardous waste and that the Generator expressly agrees to defend,indemnify and hold harmless the Transporter from and against any and all damages,costs,fines and liabilities
resulting tom arising out Many such hazardous waste.
Originator Signature Date Time
SUPERC ENTER#1861 k 06/19/2024 03:41:50 PM
TRANSPORTER INFORMATION
Company Driver Name
Liquid Environmental Solutions KASEY HARRELL
Address Phone
9199 DAVENPORT ST
City,State Zip State Registration#
BLAINE,MN 55449
Transporter Certification:I certify that the intimation above is accurate,and that only the waste certified for removal by the generator is contained in the servicing vehicle.I am aware that
�lsikmion ofthis manifest may result in procesuction
Driver Name Signature Date Time
KASEY HARRELL 06/19/2024 03:41:47 PM
RECEIVER/DISPOSAL INFORMATION
Disposal Nvne Contact Name
METROPOLITAN SEWER-MN
Address Phone
2400 CHILDS RD
City,State Zip County
SAINT PAUL,MN 55106
Route S'CDFA Mania st# Total
Quantity Recieved Gallons
O1 KH 3000
Certification of Receipt:The above waste was rceivcxl by the facility within the pmpexty boundaries and will be processed,disposed of,or recycled in accordance with all applicable laws.
Facility Representative Signature Date Time
METROPOLITAN SEWER-TV 06/19/2024 03:41:44 PM