Attachment_13_-_Example_of_a_Certificate_of_Destruction.pdf
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- Kanto Fuji Tank Cleaning and OWS
- Solicitation number
- SP450019R0009
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SP4500-19-R-0000
Sagami HW
Disposal Facility Name Address
Contact Information
Attachment 13
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
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