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t' <br /> NON+HAZARDOUS SPECIAL WASTE & ASBESTOS MANIFEST <br /> N waste Is asbestos waste.complete Sections 1 II M and IV. N o.512 4 3 4 <br /> It waste is NQT asbestos vdste,complete only Sections 1.11 and M. <br /> wN bYb <br /> a. Generator Name: ARCO PRODUCTS COMPANY b. Generating Lotion: ARCO STATION 004932 <br /> c. Address - POB 5077 d.Address: 16 E. HARDING <br /> SUM PARK, CA 90622-5077 STOMTON. CA <br /> e. Phone No.: (925) 299-8891 PAUL SUPPLE L Phone No.: NCA <br /> If owner of ds generating facility differs from the generator,protide: <br /> i <br /> q. Ownefs Name: ARCO PRODUCTS COMPANY - h.Owner's Phone No.: Setme aU I(e) <br /> IC 1) <br /> I. BFT WASTE CODE C A 4 MOS 0 6 1 7 9 0 2 1 0 9 Containers DM•METAL DRUM ^ <br /> DP•PLASTIC DRUM , <br /> J. Description W Waste: NOW-RAZARDOUS SOILL-1 k,Oua Mae No. �TYPE' BA BM PLASTIC BAG <br /> . . . � -TRb6K�P <br /> 0 0 O �! 0 1 <br /> o •OTHER <br /> GENERATORS CERTIFICATION: I hereby cern,that the above turned mai Is not a Iwzalloua waste as defined by W CFR Pan 261 or LINKS <br /> any epplkable state law,ham been pmpnly described,ciasslfieol ant packaged,and Is N proper condNon for trensportaedn acmrdirp Is P '-POUNDS <br /> applibable regutatiore;ANO,t Na wens la a"."am..due W e prakously rendded reard.wane sublet!to th Lark DlvposN V -YARDS I i- <br /> Aestnctbns,I canny and warrent that me waste nes been bee I Nerke wth ulrementa 0110 CFfi Pen 26B ark b ro kagn a Mr -CUBIC METERS' <br /> eq <br /> Mmdaus waste as dealwd by 40 CFA Pen 261. yg�p�OT. ARCD P Ya CUBICYARDS <br /> , 0 -OTHER <br /> MELISSA RTRNI ❑TT.T.ARD /il_(9l <br /> Gxrerator Authorized Agent Name Sip e a Shlpmem Dote <br /> j <br /> - • 522E '.. namesII - <br /> iTRANSPORTER TRANSPORTER 11 <br /> a. Name: AIC�+/Of�(� h. Name: <br /> b.Address: (' U' uY IJ-0 I. Address: <br /> 1 SQ✓ /N Jia ri✓ <br /> -/' CAn J. <br /> c. Driver NemeTider: / J. Driver Name/Me: <br /> FIVNIPS <br /> d. Phone Na.: Y 0-'3'2 /01y PRI e. Truck No.: �3 y k. Phone No.: � . Truck No.: <br /> /. Vehlde License NoJSa le:I�o¢ . 73 .fn.,Vehicle License 1,1945 ate: - - - <br /> Acknowledgeme Receipt of Materials. - Acknowledgernent of Receipt of Materials. <br /> Z? P <br /> TM <br /> g. n. <br /> om abs. mwn sN ons <br /> ,SeaUoR•" . .,. a -,r:.m;. FTT <br /> E NATJO _ . ;>. . <br /> a..,,Sfte Name: BPI - VASCO ROAD SANITARY LANDFILL c Phone No.: (925) 447-0491 <br /> b. Physical Address: 4001 N. VASCO ROAD d. Mailing Address 4001 N. VASCO ROAD <br /> LIVERMORE, CA 94550 LIVERMORE, CA 94550 <br /> e. DiscrepancyIMication Space: <br /> I hereby certify that the above named materiel has been accepted and to the beet Of my lora wkidge the foregoing Is true and accurate. <br /> JOB# 1007-114 <br /> P00 09-30308 <br /> I. Pwwq Dm <br /> Named NMwl[ad AOwtl aW^anae <br /> Seyc <br /> dlon V) �54 .; �T" i£ a" +S$ c a Tdrb ' <br /> a. Shippers!`Name: r b. Shippers 's'Phone Na: <br /> c. Shippers§`Address: <br /> d. Shippers%Special Handling Instructions and additional information: <br /> CERTIFICATION: 1 hereby declare Net Ne contents of this consignment are fully and accurately described above by proper shipping name and are classified.packaged, <br /> marked,and labeled/placarded,and are in all respects In proper condition for transport according to applicable Intema6onal and national governmental regulations. <br /> e. Shippers%'Name 8 Tide: <br /> plad/hpa ship s7"nl pati <br /> I. Name and Address <br /> of Responsible Agency: <br /> g.❑ Friable; ❑ Non-Mable; ❑ Both %Mable %nonhfable <br /> ' Shipper tsars to Vw camperry wnlM owns.bases.operates,mlarols,or wpeMses dw fadky bekq demoesned or renwatad,or Ne demolnbn fir remvalion operation,or bots. <br /> I'f <br />