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9 I1 FX <br /> �-zzy�, 'v� A70 Cti!lPEtflYr ARCD $ 2 <br /> ares:; 2G'-8w_;HARDING <br /> v°�.xlC CA 9D622 lr_ Y �I. CA 'ey <br /> fione No Q925� 299-8891'. PAOL SUPPLB -.f, Phone No.: N/A <br /> merflfiheDenerating fat;ilRy differs Srom the generator;proWde: . <br /> same a$ 1(e) <br /> Iwhe�sNamQ 11RCA PRODUCTS COI ANT h.;Qvmers Phone No.: <br /> TYPE <br /> IFI WASTE CODE C A 4 0 5 0 6 17 9 $ y, 'o Z 1 =0 9.: Containers - DM-METAL DRUM <br /> ID DP-PLASTIC DRUM <br /> B -BAG <br /> )escription of Waste: NN-14A7.ARDIDUS 80I1, k Quant Units No. TYPE BA -6 MIL PLASTIC BAG <br /> or <br /> 00 <br /> 0 0 1 T"FoTi" T0 -OTHER WRAP <br /> GENERATOR'S CERTIFICATION: I hereby certify dud the above named material is not a hazardous"waste as defined by40CFA Pan 261 or UNITS <br /> any.applicable.state law, has been properly described,classified and packaged,and is in proper condition fortransportatlon according to P -POUNDS <br /> applicable regulations;AND,If the waste Is a treatment residue of a previously restricted hazardous waste,subject to theAand Disposal Y- -YARDS <br /> Restrictions,I certify and warrant that the waste ties been treatetFI in aocordancq vdP the requirements of 40 CFA Part 269 and Is M longer a he -CUBIC METERS <br /> hazardous waste as defined by 40 CFA Pad 261. t:. Qf - f - Ys =CUBIC YARDS <br /> p J "O -OTHER <br /> 49LI88A kC lkl nrLLARn <br /> GeneratorAutho F2ed.� Name re Shipment Date <br /> . .�y. . n .--=- Transporterlcample <br /> S)'ORTER Generator�ompI t" —.Trans orterlloort lete`hob A <br /> / T1�lSFOR�FA Z ; TRANSPORTER II <br /> lame:ge>>1'9'7'L-/.� '�ILv 4L,Jn..� - h. Name: - <br /> .ddress; 34.ol g-Ao i. Address; <br /> lmrer Neme/litle: �'`�^A TLA d /26.a S;• _Driver Name fide: _ . <br /> hone No.:f,25 670 �7- /049h r;�do No.: k. Phone No.: - I, Truck No.: <br /> ehkleUceWNoJState; m.Vehicle LicenseNOJState: - <br /> ,dmowledgemeflt 0 Receipt of Matenals. a6 AcknoWedgement of Receipt of Materials. <br /> 2 G <br /> n. <br /> 5' nature Shi meal nate Gi+er Si naWra ahi ment Date <br /> .. -t vas <br /> DQE$7INATIOfj {' a eratpGcompletes a�;'destinetion;' Now,!" <br /> s <br /> de Name: BFI — VASCO ROAD SANITARY LANDFILL c. Phone No.: (925) 447"0491 <br /> hysical Address: 4001 N. VASCO ROAD d. Mailing Address 4001 N. VASCO ROAD <br /> LIVEI2MORE, CA 94550 LIVERNORE, CA 94550 <br /> hicrepancy 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 ecarrate. <br /> y_ JOB# 1007-114 <br /> POO 09-30308 <br />