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® . NON-HAZAR"SPECIAL WASTE &SASTOS MANIFEST <br /> If waste is asbestos waste,complete Sections I,II,III and W. - No. .512491 <br /> If waste is NOT asbestos waste,complete only Sections I,ti and M. <br /> z ARCO PRODUCT& COMPRNY ARCO STATION 405932 <br /> 3enerator Name: b. Generating Location: <br /> Wdress <br /> POB 5077 d. Address: 16 E. m=il <br /> PARR, CA 90622-5077 STOCKTON, CA <br /> 5 299-8891 PAUL SUPPLE N/A <br /> 'hone No.: I. Phone No.: <br /> vner of the generating facility differs from the generator,provide: <br /> )wner's Name: ARCO PRODUCTS COMPANY h. Owners Phone No.: Sanie as I(e) <br /> TYPE <br /> iFl WASTE CODE C A 40 5 0 6 1 7 9 9 2 0 9 Containers DM-METAL DRUM <br /> DP -PLASTIC DRUM <br /> B -BAG <br /> )ascription of Waste: NON—HAZARDOUS SOIL k. Quantity Unb No. TYPE BA -6 MIL.PLASTIC BAG <br /> H � m or WRAP <br /> 0 0 0 Y 0 1 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 property described, classified and packaged, and is In proper condition for transportation according to P -POUNDS <br /> applicable regulations;AND,11 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 accorcienge with the requirements of 40 CFR Part 266 and is no longer a M' -CUBIC METERS <br /> hazardous waste as defined by 40 CFR Part 261 laY., "e I e�t Of ARCO P ^ " r��` �1 O -CUBIC YARDS <br /> MELISSA 1CIRN/ DZLLARU I '/1'V <br /> Generator Authorized Agent Name r, ignat r " — Shipment Date <br /> "' $a '^c a- td-• ro ary'sws;r.-+ a a fafi9{k1Yle1'3 <br /> Gln II @ 5a. -,TRANSPUR7 ERGeneratorcompietea a; Yra s v afro . <br /> TRANSPORTERI TRANSPORTER II <br /> fame: f_!c-;LJ IJf t/ h. Name: <br /> .ddress: // i. Address: <br /> giver Name/Title: \terr`irnwe ..1. Driver Name/Title: <br /> PPI TrYPE <br /> hone No(ye61!gq�-7T 34,0 e. Truck No.. k. Phone No.: I. Truck No.: <br /> ehicle License NoJState:77<-i6w m.Vehicle License No./State: <br /> ,gknowledgemen ceipt of Materials. Acknowledgement of Receipt of Materials. <br /> d. <br /> yShlffi Date - D&Ws' shipment DWe <br /> e <br /> its Name: BFI — VASCO ROAD SANITARY LANDFILL c. Phone No.: (925) 447-0491 <br /> 4001 N. V.ASCO ROAD d. Mailing Address 4001 N. VASCO ROAD <br /> hysical Address: 9 <br /> LIVEO2MORE, CA 94550 LIVERMORE, CA 94550 <br /> iscrepancy Indication Space: <br /> )ereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. - <br /> jo34 1007-114 <br />