Laserfiche WebLink
® .NON-HAZARDS& SPECIAL WASTE & AAESTOS MANIFEST <br /> ff waste Is asbestos waste,complete Sections I,R,Eff and IV. N t7, 512486 <br /> If waste is NOT asbestos waste,complete only Sections 1,II and III. <br /> BCtl6f11 ' " 'GENERATOR (Generator completesall of Section 0 <br /> 3. Generator Name: ARCO PRODUCTS COMPANY b. Generating Location: ARM STATION #04932 <br /> :. Address POB 5077 d. Address: 16 E. HARDING <br /> BUENA PARK, CA 90622-5077 ST0CXION,, CA <br /> 3. Phone No.: (925) 299-8891 PAUL SUPPLE f. Phone No.: N/A <br /> f owner of the generating facility differs from the generator,provide: <br /> ARCO PROL,UCTS COMPANY Same as I(e) <br /> 7. Owners Name: h. Owner's Phone No.: <br /> FM TYPE <br /> BFI WASTE CODE C 4 511 6 7 9 9 2 01911 Containers DM-METAL DRUM <br /> DP -PLASTIC DRUM <br /> NON—HAZARDOUS $OIL B -BAG <br /> Dgscription of Waste: k. Ouant' Units No. TYPE BA -6 MIL PLASTIC BAG <br /> 0 0 Y 0 2 K WRAP <br /> Ffl T -TRUCK <br /> O -OTHER <br /> GENERATOR'S CERTIFICATION: I hereby certify that the above named material's 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 -ygRDS <br /> Restrictions,I certify and warrant that the waste has been treated in accordance with the requirements of 40 CFR Part 268 and is no longer a IM' -CUBIC METERS <br /> hazardous waste as defined by 40 CFR Part 261. at. Vhe` r t �f/,ARCO PRODUCTS COMPANY Ye -CUBIC YARDS <br /> /f� O -OTHER <br /> MELISSA KZRN DILTARD � a � { <br /> Generator Authorized Agent Name Signature Shipment Date <br /> Section II TRANSPORTERcom late Generator ad; Transporter I complete e-g <br /> ( p Transporter H complete h-n� <br /> TRANSPORTERI TRANSPORTERII <br /> t. Name: t— C — h. Name: <br /> 3. Address: �.5' rn ,'k'"eM/- ii i. Address: <br /> :. Driver NamefTltle: t/ . 3v�;<o /V'i -w } ,Driver Name/rMe; <br /> PRINTT'PE •RINgrYPE <br /> 1. Phone No.: e. Truck No.:—#A k. Phone No.: I. Truck No.: <br /> Vehicle License No./State:=� -S G<? m.Vehicle.License No./State: <br /> Acknowledgement of Receipt of Materials. Acknowledgement of Receipt of Materials. <br /> I. .:,✓i -a Z n. . ., <br /> Diver na� Shl (Date Driver S' nature Shi meet Date <br /> JeCb011'`III �DESTINATtON';G m toroompletesa-d,destlnatlonsRecompletesef) ;1,_ _ <br /> RFI — VASCO ROAD SANITARY LANDFILL (925) 447-0491 <br /> L Site Name: c. Phone No.: <br /> 40 1 N. V'-SCO ROAD 4001 N. VASCO ROF.D <br /> r. Physical Address: d. Mailing Address <br /> LIVLRMORE, CA 94550 LIVERt1ORE, CA 9455 : <br /> Discrepancy Indication Space: <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. <br /> 3DB4 1007-114 <br /> j P0# 09-3030a <br />