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a <br /> NON-HAZAR S SPECIAL WASTE'& kI3ESTOS MANIFEST <br /> tf waste Is asbestos waste,complete Sections c It Mand IV. N o.5124 3 2 <br /> If waste Is N9111.S asbestos waste,complete only Sections L R and . <br /> sx <br /> a. Generator Name: ARCO PRODUCT'S COMPANY b. Generating Location: AROO STA SON #04932 <br /> c. Address POB 5077 d. Address: 16 E. EARDING <br /> BUENA PARK, CA 90622-5077 STOCKTON, CA <br /> e. Phone No.: <br /> (925) 299-8891 PAUL SUPPLE I. Phone No.: N/A <br /> If owner of the generating facility d'Iffers from the generator,provide: <br /> ARCO PRODUCTS COMPANY Saute as I(e) <br /> g. Owner's Name: -.Owner's Phone No.: <br /> C A 4 05 06 1 179 9 02 109 TYPE <br /> I. BFI WASTE CODE Containers DM-METAL DRUM <br /> DP -PLASTIC DRUM <br /> NON—HAZARDOUS SOIL B -BAG <br /> j. Description of Waste: k. Quart Units No.No. TYmPE BA -6 MIL.PLASTIC BAG <br /> 010 0 Y m 0 1 TK WRAP <br /> T -TRUCK <br /> 0 -OTHER <br /> GENERATOR'S CERTIFICATION: I hereby certify that the above named material is not a hazardous waste as defined by 40 CFA 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 treatmefridu of a prevlous y restricted hazardous waste subject to the Land Disposal Y -YARDS <br /> Restrictions,1 certify and warrant that the waste hast in acct rdan witthe requirements of 40 CFR Part 268 and is no longer a M' -CUBIC METERS <br /> hazardous waste as defined by 40 CFR Part 261. ( t 6 of ARCO PyR-ODUUCTTS�COMMP�AANNY Y' CUBIC YARDS <br /> MELISSA KIRN/ DILLARD � UVJ O -OTHER <br /> Generator Authorized Agent Name idn ture Shipment Date <br /> ' leteaal, r�anerVle�te <br /> RANSPOTiTER Generator <br /> TRANSPOORT�ER I TRANSPORTER II <br /> a. Name: i ///LG J h. Name: <br /> to. Address: ave--r 1. Address: <br /> a <br /> c. Driver Namefritle: E��"' Z� A )g4 4— S-® 'j. Driver Name/T"rtle: <br /> p167�,/C P INT/tYPE �p PRINTnWE <br /> d. Phone No.:( �� G e. Truc ,No/.:.c/� 3�Q k. Phone No.: I. Truck No.: <br /> f. Vehicle License No./lte:5/ Z��7U Y X / m.Vehicle License No./State: <br /> Acknowledgement of Receipt of MaterialsA Acknowledgement of Receipt of Materials. <br /> �9- 'a'G``' n. <br /> nature Shripaient Date Driver Si nature Shiprnent Date <br /> M-1 Y r` 3. .p .RL'Y4- A'4`.. . <br /> BCfIOt)„ "' 'a� z<1,r-. . �'DESTIN/#T10�I;cetiarkYiorrlcompletes a-d,tlestina"U'«i ske completes a-L), =,s€ <br /> BFI — VASCO ROAD SANITARY LANDFILL (925) 447-0491 <br /> a. Site Name: c. Phone No.: <br /> 4';'01 N. VASCO ROAD 4001 N. VASCO ROAD <br /> to. Physical Address: d. Mailing Address <br /> LI11II2FIORE, CA 94550 LIV: RMOF.E, CA 94550 <br /> e. Discrepancy Indication Space: <br /> I hereby certify that the above named material has been accepted and to the best of rT7y knowledge the foregoing is true and accurate. <br /> i <br /> JOB& 1007-11.4 <br /> f. __ --��� '\- - ) / POk 09-30308 <br />