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NONMAZAR^';PECIAL WASTE&AESTOS:MANIFEST <br /> If <br /> waste Is asbestos waste,complete Sections 1,II,M and IV.' :N O, C i _. <br /> - ff waste Is NQT asbestos waste,complete only Sections L II and III. - r7 4} <br /> a Generator Name: ARCO PRODUCT8 COMPANY It. Generating Location: ARCO STATION #04932 <br /> o. Address -POS 5077' d. Address: I6 $.-BARBING <br /> BUSK PARK, CA 90622-5077 STOCKTON, CA <br /> 3. Phone No.: (925) 299-8891 PAUL SUPPLE I. Phone No.: N/A <br /> f owner of the generating facility differs from the generator,provide: <br /> 1. Owners Name: <br /> ARCO PRODUCTS COMPANY h. Owner's Phone No.: Same as Ile) <br /> C A <br /> 4T 06 1 7 9 02 109 TPE <br /> BFI WASTE CODE Containers DM-METAL DRUM <br /> DP -PLASTIC DRUM <br /> Description of Waste: NON—HAZARDOUS SOIL B -BAG <br /> P k. Quanti UBA -6 MIL PLASTIC BAG <br /> 0 0 01 IJ Y 1 <br /> O Tor 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 trea nt residue of a previously restricted hazardous waste subject to the Land Disposal Y -YARDS <br /> Restrictions,I certify and wanantthat the waste has treat in acoorda with 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. of ARCO PRODUCTS COMPANY _ Ys -CUBIC YARDS <br /> MELISSA KIRK/ DILLARD ......ne(urD to ! O -OTHER <br /> Generator Authorized Agent Name Signa urea <br /> Transporter t complete'e9 <br /> .TRANSPORTER (Generator compietea-d; trans orter II com tete h n - <br /> TRANSPO TERI TRANSPORTERII <br /> r /c <br /> Name: J�arGe: <br /> . Address: - i. Address: <br /> \ <br /> Driver Name/ritle• . ..j• -Driver-NameMtle: - <br /> INrfrYPE PRhrrfME <br /> Phone N e. Truck No.: k. Phone No.: I. Truck No.: <br /> V • 'cense NoJState• m.Vehicle License No./State: <br /> Ackno edge t of ecei of Materials. Acknowledgement of Receipt of Materials. <br /> n. <br /> Df1VQr Si naWre s_, mens Date <br /> Driver Sl nature Shi man[Dete <br /> eCtion III .`DESTINATION (Generatorcompletesa-d,destination site completes et) <br /> BFI — VASCO RGAD SANITARY LANDFILL (925) 447-0491 <br /> Site Name: c. Phone No.: <br /> 4001 N. VASCO ROAD <br /> Physical Address: d. Mailing Address 1" <br /> 4001 N. VASCO ROAD <br /> LIVERMORE, CA 94550 LIV�'RMORE, CP. 94550 <br /> Discrepancy Indication Space: <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> l� .TOSS 1007-114 <br /> PON 09-30308 <br />