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A <br /> -NON•HAZAR&*'SPECIAL WASTE,;J�4%STOSJAANIFEST =j <br /> l ' <br /> • 4f waste is asbestos waste,complete Sections 1,B,III and IV. N O , -g 9 <br /> If waste is NOT asbestos waste,complete only Sections 1,H and M. 1r f� j <br /> Generator Name: ARM <br /> PRAM= CO"ANY b. Generating Location: ARCO STATION #04932 <br /> Address POB 5077 d. Address: 16 E. HARDING <br /> RUF.BFL PARK, CA 90622-5077 STOCKTON• CA <br /> Phone No.: (925) 299-8891 PAUL SUPPLE f. Phone No.: N/A , <br /> wrier of the generating facility differs from the generator,provide: <br /> Owner's Name: ARCO PRODUCTS COMPANY h. Ownees Phone No.: Same as I(e) <br /> TYPE <br /> BFI WASTE CODE C 4 0 5 0 6 1 1 7 9 9 2 0 9 Containers DM-METAL DRUM <br /> DP -PLASTIC DRUM <br /> B -BAG <br /> Description of Waste: NON—HAZARDOUS SOIL k. Quantity Units No. TYPE BA -6 MIL.PLASTIC BAG <br /> or WRAP <br /> 0 0 Y 0 1 11 T 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 properly 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 in�ccordanoe w71r— <br /> Generator <br /> requirements of 40 CFR Part 268 and Is no longer a M' -CUBIC METERS <br /> hazardous waste as defined by 40 CFR Part 261. d t U 6f ARCO y Y -CUBIC YARDS <br /> teaw Y <br /> 10161-213 9 9, O -OTHER <br /> Tsp'J--...-_ TRN4 1)TT.T.Lt Rff <br /> Authorized Agent Name Si r Shipment Date <br /> et9. <br /> F�J3P�RXER banarBti)f <br /> p al9-�'tf;-'�{'r9rte -•II CO ale •s,r . "_i '� <br /> TRANSPORTER if Ilit TRANSPORTER H <br /> ^^ 1� <br /> Name: h. Name: <br /> Address: -E`A I. Address: <br /> r <br /> Driver Name/Title' R f SG ,1 j. Driver Name/ritie: <br /> PrilNr/rYPE PRINTITYPE <br /> Phone No.: e. Truck No.: k. Phone No.: . 1. Truck No.: <br /> Vehicle License No./State: 10 y S 15 O In.Vehicle License No./State: <br /> Acknowledgement of Receipt of Materials. Acknowledgement of Receipt of Materials. El <br /> ' 461399 n <br /> D6w priatunIShl roam Date Dover S nature Shl ment Data <br /> ., a tagiw TI 1t 4 e efes � naydns _ a r 'f <br /> Site Name: BPI VASCO ROAD SANITARY LANDFILL c. Phone No.: (925) 447-0491 <br /> Physical Address: 4001 N. VASCO ROAD d. Mailing Address 4001 N. VASCO ROAD <br /> LIVERWRE, CA 94550 LIVERMORE, CA 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 /> JOB# 1007-114 <br /> .,FO# 09-30308 <br />