Attachment_14_-_Certificate_of_Destruction_Sample.pdf
PDF 362 KB Posted
- Attached to
- Hazardous Waste Removal and Disposal at Azores
- Solicitation number
- SP4500-19-R-0018
- Issued by
-
Defense Logistics Agency
About this file
Attachment 14 Certificate of Destruction Sample
View the file
Other files
Show all 21
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Solicitation SP4500‐19-R-0018, Attachment 14
Certificate of Destruction
Date:
From: Received by:
Date:
This is to certify that the waste identified on Shipping Document: ______________ ,Manifest # ____________
Line# ____________ was received by _________________________ on this Date:
The waste(s) were subsequently disposed of by the process bearing this Disposal or Recovery code __________ on this
Date: ______________ in accordance with all permits and laws regulating this process.
Reference number: Delivery Order XXXX, Line Item(s): XX –XX.
Material:
Number of containers:
Type of container:
Address of the Facility Disposing of the Waste:
Certifying Official Printed Name: ________________________________________________
Signature: ______________________________________________________________
Verifying Official Printed Name: _________________________________________________
Signature: _______________________________________________________________
File details come from the government source that posted it.