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W- 6ste - 1-125871 <br /> Ste�l'1S�" a- �������3`w �� t 'Jr'FFrrjiier <br /> tc,�'�����t►A,. lr�il t. <br /> i WNING- <br /> Systems , <br /> �,;; ON-HAZARDOUS SPECIAL. WASTE MANIFEST <br /> • . • <br /> Generator Name ARGo PRODUCTS Generating Location ARCO STATION 02130 <br /> Iddress P-0- Box 5811 - Address 7806 N. El Dorado Srreet <br /> San Mateo CA 94432`- - Stockton, <br /> hone No 5 1 7 1 2 4 3 -4 Phone No <br /> 4 0 5 0 9 0 4 9 3 b 0 2 2 Containers Type <br /> FI Waste Code A 1 D-Drum <br /> Description of Waste Quantity, U® � T� C_Carton <br /> r 0 0 0 8 1 ll�J{ B -Bag <br /> NOX I=ARDOL'S SOIL - - T -Truck <br /> . m <br /> - - y - ❑ m P -Pounds <br /> Y -Yards <br /> El m El -Other <br /> I hereby certify that the above named matenal-does not contain free"1iclyid-as defined by 40 CFR Part 260 10 or any applicable <br /> - state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state taw, has been properly described, <br /> - classified and{packaged, and is in proper condition for transportation according to applicable regulations. - <br /> I <br /> P <br /> 11 <br /> AnRLAP %V ' <br /> o - r <br /> or <br /> Agent Name F _ , signature shipment Date <br /> L_CkNo (5I0} 63kt-6850 �_ <br /> - -- ---- - - y w _ Phone-No s r <br /> ` Di11aYd TrUck1he;-Znc:-1004%36 Driver Name(Pant It �Pf <br /> 'Transporter Name <br /> Address P.O•=-,B& 218 Vehicle License No/State <br /> "Byroil.�CA` 94514-- �- --y Vehicle Certification-_ <br /> I hereby ce fy that the above named material was picked up F I hereby certify that the above named material was delivered with. <br /> t the at fisted above--4 "-t-"- out incid r <br /> t to the destination fisted below <br /> O Shipment Date Ddy7rSignature Delivery pate <br /> D r Ignature ' <br /> DESTINATION <br /> rte Name D.F.I. Vasco Rd. Landfill P.O.# 02-10055 Phone No 5 1 O 1 <br /> Address 4001 North Vasco Road, Livermore, CA 94550 <br /> 1 hereby certify that the above named material has been accepted and to the best of my kn� 1,od a foregoing is true and accurate <br /> J, 17r ~ <br /> J <br /> Name of Authorized Agent Si nature Recei D <br /> PASS CODE ' <br /> SFI260.720 <br /> -rr+neknnrin-rrn r+rTn+�+ <br />