6.0 Attachment 06 - Example of a Certificate of Destruction.doc
DOC document 47 KB Posted
- Attached to
- HAWAII HAZARDOUS WASTE REMOVAL & DISPOSAL
- Solicitation number
- SP450021RXXXX
- Issued by
-
Defense Logistics Agency
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Text version
SP4500-21-R-0009
Hawaii HW
Disposal Facility Name
Address
Contact Information
CERTIFICATE OF DESTRUCTION
Certificate No.:
Pickup Date:
Task Order #:
Date Received:
Manifest Number:
CLIN#
Treatment Disposal Date
Method
I certify, to the best of my knowledge, the above listed items were treated/disposed of as indicated in accordance with applicable laws and regulations at this permitted treatment, storage and disposal facility and have been rendered unusable and unrecoverable.
Print Name
Signature
Date
Print Title
File details come from the government source that posted it. Updated .