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7. <br /> ' <br /> iNOWHAZAR p. C A AS?E ESTOS,NIANIFEST <br /> `- Xy, <br /> y, ,, K waste a as ,, gePtions S,lt,III and IV <br /> tfwastets a�`b D St plete only Sections L a and'IQ. <br /> ARCO PFdX=S tX3!@A Ir, knY s.3, ARCO STATION 904932 <br /> a.,Generator Name: b. Generating Location: <br /> a Address POB 5077 .' d. Address: 16 L. HARDING <br /> BUENN PPIR4 Ch 90622. 077 SPOCRTON,- CA <br /> e: Phone No.: (M) .299-6891 PAUL. SUPPLBg - N/A <br /> f. Phone No.: <br /> If owner of the generating facility differs from the generator,provide: - <br /> g. Owner'sName:: 'ARC PRODUCTS COMPANY +F h. Owner's Phone No.: <br /> Same. as I(e) <br /> C A 4 05 <br /> 109 06 179 9 02 TYPE <br /> i. BFI WASTE CODE Containers ` DM-METAL DRUM <br /> DP -PLASTIC DRUM <br /> NON-'HAZARDOUS SOIL B BAG <br /> h Description of Waste: k. Quant' Units BA -6 MIL PLASTIC BAG <br /> 0 0 0 Y 0 1 T or WRAP <br /> T -TRUCK <br /> O -OTHER <br /> GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFR Part 261 or UNITS <br /> any applicable state law, has been property described, classified and packaged, and is in proper condition for transportation according to P -POUNDS <br /> applicable regulations;AND,If the waste is a treatment residue of a previously restricted hazardous waste subject to the Land Disposal Y -YARDS <br /> Restrictions,i certify and warrant that the waste has been treated accordance w" the requirements of 40 CFR Part 266 and is no longer a M' =CUBIC METERS <br /> hazardous waste as defined by 40 CFR Part 261. S 7s, of ARCO PRODUCTS COMPANY Y' -CUBIC YARDS <br /> O -OTHER <br /> MELISSA KIRN/ DILLARD `/� <br /> -Generator Authorized Agent Name ," Shipment Date - - - <br /> ., r, . -.<., at,;+d :^con.-npxs,'�Yanspbfte 9v`'om Igffi`$-g a .x .'s�€: #1.•-i `r. rxsv,�z. <br /> yS_ [ SPOR7fR .Generatorcomplerte8vi; runs n(Will W �feta n n . . <br /> NSRORIE13.h;, <br /> TRANSPORTER U <br /> L Name: h. Nama. <br /> o. Address' 'Dlo, 7k1. Address: <br /> 6C _ <br /> DriverNamefrille: - .i._. UriverNarnafitle: _ <br /> PFiINiTPE r <br /> i PRINT/NPE . <br /> J. Phone No.. may/X 4301, ,fit e. Truck No.: J 7l k.k. Phone No.: I. Truck No.: <br /> Vehicle License No./State:/J�..E,i P Q m.Vehicle License No./State:. - <br /> Ackn edge eceipt of Materials. Acknowledgement of Receipt of Materials. TT <br /> t, n. <br /> n - Shpmeet Date Drivers nature §n'7 Date <br /> SecillonyL bESTINATION'dGeneat$ mpietes BesLo§ �,) . d .: <br /> BFI - VASCO ROAD SANITARY LANDFILL (925) 447-0491 <br /> i. Site Name: c. Phone No.: <br /> 4001 N. VASCO ROAD 4001 N. VA8tO ROAD <br /> �. Physical Address:. d. Mailing Address <br /> LIVERMORE, CA 94550 LIVERMORE, CA 94550 <br /> i. Discrepancy Indication Space: <br /> hereby certify that the above named material has been accepted andso the best of my knowledge the foregoing is true and accurst@. <br /> . JOBB 1007-114 <br /> PO$ 09-30308 <br /> Nanre of Authorized Agent Signature Receipt Data <br /> P par.�:;•r•.,. <br /> e{ : <br />