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'® NON-HAZARDOUS SPECIAL WASTV'& ASBESTOS MANIFEST ` If waste is asbestos waste,complete Sections 1,H,IT and IV. N0.512498D waste Is NQI asbestos waste,wmplets only Sections L D and m. - a Generator Name: ARCO PRODUCTS COMPANY b. Generating location: ARCO STATION 804932 c. Address POB 5077 d Address: 16 E. HARDING BUENA PARK, CA 90622-5077 STOCKTON, CA i e. Phone No.: (925) 29"-8891 PAUL SUPPLE I. Phone No.: N/A ' If owner of the generating facility diners from the generator,provide: g. Ownefs Name: ARCO PRODUCTS COMPANY h.Ownefa Phone No.: Seas as I(e) C A 4 OS O6 179 9 OZ 109 DP ffiE i. BR WASTE CODE Containers DM-METAL DRUM PLASTIC DRUM j. Description of Waste: NON-HAZARDOUS SOILUrbTYPE I k. 01 D 0 � BA-MOIL WRAP SAG 0 0 0 Y 0 1 T T -TRUCK WRAP - O -OTHER GENERATORS CEFTIFICATION: I Mieby.mfr that aro above nemea maeda b wt a heard«n wane u debwd by a0 CFR Pen 261 or UNRS any applkable alele kw,hear been property described,daunted and paoFaged.and 6 In proper wndmon M momPorleaon according to P -POUNDS applirada reguWtions:AND.If the waste te•hestment residua of a PrMously reshfeted hazardous waste subject to tlw land Dbposal Y -YPOR S Rnhictlom.I coney and warrent diet me wane has been treated acwm woe wan the regueemenm d a0 CFP Pon 269 grid ts m trap«a M' -CUBIC METERS harallous wasteudafirrod by oro CFR Pert ea1. b i e^ of ARCO PRODUCTS COMPANY Ya -CUBIC YARDS MELISSA KIRK/ DILLARD ��/ O -OTHER General Aumorlaed Agea Name S' Shipment Data SBCl)Orlf[".'b„e`v`4W TRANSPORTERI TRANSPORTER11 a. Name: �l AST✓ h. Name: b.Address: G. ;3(7y /-S-0 I. Address: S /YJ/J2e 17N 60- c. Driver NemayRtle: .Drkw Name/DDe: PPoNfT FallJ d. Phone No.: 1j--"-37Z-1'0J0 e. Truck No.: 7> 6 k. Phone No.: I. Truck No.: f. Vehicle License NNState: S�UYVv// 6T5'a 973 fn,Vehlcla License NoiState: Acknowled to t t Receipt of Materials. - - Acknowledgementnf Receipt of Materials. g. Z n. I�I�I�I�I�LJ Ihhp ort. Omer on. BFI - VASCO ROAD SANITARY LANDFILL (925) 447-0491 j a. Site Name: c. Phone No.: b. Physical Address: 4001 N. VASCO ROAD d Mailing Atldresa 4001 N. VASCO ROAD f' LIVERMORE, CA' -94550 LIVERMORE, CA 94550 i e. Discrepancy Indication Spam: - - I hereby certify that the above nerved material has been accepted and to the best of my knowledge the foregoing Is true and accurate. 1-i JOB# 1007-114 f, `> POR D9-30308 tfwaayvawxm anent syaan �..? R.vq one 56ES16S; i Sect(onJY, a. Shippers's-Name: b. Shippers's•Phone No.: C. Shippers's-Address: tl. Shippers's Special Handling InsImC11DM and additional inlomtaaon: CERTIFICATION: I hereby declare that the contents of this consignment are July and accurately described above by proper shipping name and are classified,packaged, marked,and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations. e. Shippers's-Name&Title: n4Nrype Shppns Sprutun Dai. I. Name end Address of Responsible Agency: g.❑ Friable; ❑ Non4dable; ❑ Both %Mable %nonfriable shipper sera tot"company which mme,baso,operates.wards,or supervises me facility heing demolished or renovated,or vie demolkbn«renovation.,salon,or both. A".