SITE HISTORY - Laserfiche WebLink

Home Browse Search

NON-HAZARI1hIk;6 SPECIAL WASTE &(t-S -.ZSTOS MANIFEST d waste Is asbestos waste,complete Sections I,IL III and IV. N O 611448 H waste is NQT asbestos waste,complete only Sections L R and M. Generator Name: ARCO PRODUCTS COMPANY b. Generating Location: ARCO STATION #00595 Address POB 5077 d. Address: 6100 N_ HPIY 99 BUENA PARK, CA 90622-5077 RTCX KTf)N, CA Phone No.: (9251 299—RR91 PAUL Still. I. Phone No.: N/A wner of the generating facility differs from the generator,provide: Owner's Name: ARCO PROC'[)(`PS COMPANY h. Owner's Phone No.:Same ac T(P) L BFI WASTE CODE C A 4 O S 1 0 9 1 2 0 9 0 2 1 2 1 5 7 1 Containers DM-METAL DRUM DP -PLASTIC DRUM B -BAG Description of Waste: N(M1—RA7.ART1CIUR ROTI. k. QOuanOti 0 � ONo. TYPE BA -6 MIL PLASTIC 1 m O -OTHER or WRAP BAG GENERATOR'S CERTIFICATION: I hereby certify that the above nam d material is not a hazardous waste as defined by 40 CFR Part 261 or NIT any applicable state law, has been property described, classed nd packaged, and is in proper condition for transportation according to P -POUNDS applicable regulations;AND,a the waste is a treatment residue a previously restricted hazardous waste subject to the Land Disposal Y -YARDS Restrictions,I certify and warrant that the waste has n treat I accowa with the requirements of 40 CFR Part 266 and is no longer a M' -CUBIC METERS n ous+to as defined by 40 CFR Part 261. �� 1, Y' -CUBIC YARDS reTe' t of ARCO 8 O -OTHER ener or or¢e Agen ante Si dture Shipment Date Tmnspoder I complete e-g TRANSPORTER (Generator complete ed; Trans nern com let.h-n TRANSPORTERI TRANSPORTERII Jame: DILLARD TRUCKING, INC, h. Name: address: POB 579 i. Address: 8 ON, CCAA (` 945144 1'r )river NamefBile. \oC --` 'f"-p ` `-` ( VL: � 'USS j. -Driver Name/title: ----Y t PRIWITYPE PRINTI YPE 'hone No.: 925-6344-68`-�O a.. Truck 1,1417 (—� k. Phone No.: I. Truck No.: /ehicle License No./State: l7 �i V e In.Vehicle License No./State: ! >,cknowledgemen of Receip pf Materials. Acknowledgement of Receipt of Materials. --�.7�Q1 �--• -1 n x'rver S neWre Shi merit Date Driver Signature Shi rnent Dale c�ioR(:III '` DESTINATION (Generator completes a-d,destination isite completes e-t.) ;ite Name: BFI — VASCO ROAD SANITARY LANDFILL c. Phone No.: (925) 447-0491 'hysical Address: 4001 N. VASCO ROAD d. Mailing Address 4001 N. VASCO ROAD �I LIVERMORE, CA 94550 LIV' RNORE, CA 94550 Nscrepaney,Indication Space: i hereby certify that the above named material has been acceptedand to the best of my knowledge the foregoing is true and accurate. \ JOB# 1007-128 Ii PO# 09-31515 an,e or AulW.od Agent Sign.W'. Receipt oae / 1 ctiim IV ASBESTOS (Generator complete a-d;f,g,Shipper completes e.) I ;hippers's' Name: b. Shippers's-Phone No.: I, .hipptl Address: ' i shippers§Special Handling Instructions and additional information: TIFICATION: I hereby declare that the Contents of this consignment are fully and accurately described above by proper shipping dame and are classified, packaged, :ea and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulatiore.