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NON-HAZARDS& SPECIAL WASTE & JAESTOS MANIFEST If waste is asbestos waste,complete Sections I,IL III and fV. 5 q n /� p . . If waste is NOT asbestos waste,complete only Sections t,II and Ill. No. J 1 G 4.7 -a GENERATOFt;' ,retorcompletesafolSecrwn7}fes=t:•: 3. Generator Name: ARCO 'PRODUCTS COMPANY b. Generating Location: ARCO M, TION 404932 POB 5077 26 E. HARDING Address d. Address: BUBt'Ql PARK, Ch 90622-5077 STOCRTOH, CA t. Phone No.: (925) 299-8891 PAUL SUPPLE I. Phone No.: N/A f owner of the generating facility differs from the generator,provide: g.Owner's Name: ARCO PRODUCTS COMPANY h. Owner's Phone No.: Same as Ile) C A 4 0 5 0 6 1 7 9 9 2 0 9 TYPE BFI WASTE CODE Containers DM-METAL DRUM DP -PLASTIC DRUM NON–HAZARDWS SOIL B -BAG Description of Waste: k. Quant' Units � No. TYmPE BA -T MIL PLASTIC BAG 0 0 O Y O 1 T or WRAP T -TRUCK O -OTHER ,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 any applicable state law, has been properly described, dassified and packaged,and is in proper condition for transportation according to P -POUNDS applicable regulations;AND,If the waste Is a treatment residue of a previously restricted hazardous waste subject to the Land Disposal Y -YARDS Restrictions,I certify and warrant that the waste has been seated iryaccordance with a requirements of 40 CFR Part 268 and is no longer a M' -CUBIC METERS hazardous waste as defined by 40 CFR Part 261. at i the reque t of ARCO PRODUCTS COMPANY Y' -CUBIC YARDS .e O -OTHER IiSLISSA 1CIRN/ DILLARD Generator Authorized Agent Name S' atu e ` _1 Shipment Date - ' / ` Transporter t complete g Section 11 TRANSPORTER (Generator completea-d; Transporter lataeh-n TRANSPORTER t TRANSPORTER II t. Name:T':�' – L h. Name: �. Address: r--Tj 4 5,;-4;;-"4e_04 . " 1. Address: Driver Name/Tille: , ' C j. Driver Name/r'dle: PRINTPRINTfrYPE 1. Phone No.: e. Truck No.: k. Phone No.: I. Truck No.: Vehicle Ucense No./State: �--,n ,ZGr t t C c. m.Vehicle License No./State: Acknowledgement of Receipt of Materials. Acknowledgement of Receipt of Materials. I Driver. i oalure� !' } ShlipmeM Date Driver Si naNre Shp ment Date 3BCfl011. III 't€: ;r DESTINATION (Generator completes a-d,destination site completesef.) SPI – VASCO ROAD SANITARY LANDFILL (925) 447-0491 Site Name: c. Phone No.: 4001 N. VASCO'ROAD 4001 N. VA.vCO R'iAD ,. Physical Address: d. Mailing Address _— LIVi3?FfORE, CA 94550 LIVERMORE, CA 94550 Discrepancy Indication Space: -I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. JCP.# 7007—i 11 > ' / FU:; 05'-3 ;s0fi '1 ,