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tri: ; ' 'tijC FstKjf`I?135ta t10S[65 O ly`6BbU0r7s.f,tIatlttID.ARM No' �: L Genefetor Name: ' S` b. Generating Location: ARCA S�tTION F404493 ` ;.'AddroSs '.VW 5077 d.Address: 205 NORTB CENTER STREET v . : PI Rr '.CA_ 90622.5ft77 S'LO=ToN, Im s. PhoneNo.. ' '�`(QZS) :2998891-.PAUL SUPPLE I. Phone No.: N/A f owner of the generating facility differs from the generator,provide: 3. Ownets Name: ARCO PRODUCTS 00110ANYh Same an I(e) OvmeYs.Phone No.: C A 405 06 1 109 1 9 02 94 �E BFI WASTE CODE y m Containers DM-METAL DRUM I DP -PLASTIC DRUM I B -BAG Description of Waste: -NON—IAYAIRDOUS SOIL - k. Duanf units No. TYPE BA -6 MIL PLASTIC BAG L1.J—L/10 N or WRAP . 0 0 O Y 0 1 MO MO T -TRUCK THER GENERATORS CERTIFICATION: I hereby certify that the above named material Is not a hazardous waste as defined by 40 CFR Part 261 or UNITS any applicable state law, has been property described,classified and packaged,and is in proper condition for transportation-according to P -POUNDS applicable regulations;AND,If the waste Is a treatment residue of a previously restricted hazardous waste subject to the lard Disposal Y -YARDS Restrictions,1 certify and warrant that the waste has baeo treateo in accordance wyh tpe requirements of 40 CFR Part 26B and is no longer a M' -CUBIC METERS hazardous waste as defined by 40 GFR Part 261. t e r f ARCO PRODUCTS COMPANY Y' -CUBIC YARDS O -OTHER MELISSA KIRK/ I]ILLARD i Q 6 ! Generator Authorized Agent Name Shipment Date $eehOnC . jF, . ^^ — 4• t reisporferlcanfpeee9 a s SPOMER {Generates cahpi e. rens cru c«n to h n ,TRA;NSSPORTERI TRANSPORTER 11 s. Name: h. Name: i. Addreds: a1 2 I. Address: :. Driver Name/[rtie:' .- .-.. j. Driver Name/T(de: nPRIr /rYPE J. Phone No.: 9x �o3�/�y�_5v e. Trude No.:�; g J k. Phone No.: LPRWmT ck No.: Vehicle License No./State: 12i m.Vehicle License No./State: k ledge t of ece' of Materials. Acknowledgement of Receipt of Materials. n. 3 Driver Signalk,re 41 Shi Date Diner S' rupee SM mentDaze DESTINATION-'(Gerieiatorcotripletes ad,destine"tionsdecoriipleieseL)-'..:.' BFI – VASCO ROAD SANITARY LANDFILL (925) 447-0491 3. Site Name: c. Phone No.: 4001 N. VASCO ROAD 4001 N. VASCO ROAD b. Physical Address: - d. Mailing Address LIVERMORE, CA 94550 LIVERMORE, CA 94550 e. Discrepancy Indication Space: I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. JOB# 1007-112 POfk 09-30313 f. Name of ArNgrixod Agent SigneWre Receipt Date Section '`; " . ASBESTOS,(6enerWorcomplete ad,I.U,Shipper'completes e) a. Shippers's-Name: b. Shippers's*Phone No.: c. Shippers's-Address: d. Shippers's Special Handling Instructions and additional information: CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classllied, package: marked,and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.