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BFSI# <br /> 186924 <br /> Generator's Name and Mailing Address Generator's Site Address(rl different than mailing address) <br /> BP WEST COACST PRODUCTS, LLC 06080 <br /> P.Q. ROX 80249 861� I gUISE AVENUE <br /> RANGHQ SANTA MARGARITA, CA 92688 LATHROP, CA 96.330 <br /> Generators Phone: 949460-6200 <br /> Container type removed from site: Container type transported to receiving facility: . <br /> ❑ Drums ❑ Vacuum Truck eJ Roll-off Truck DurripTruck ❑ Drums ❑ Vacuum Truck O'Roll-off Truck ❑ Dump Truck <br /> ❑ Other ❑ Other <br /> CC Quantity Quantity Volume _ <br /> O <br /> WASTE DESCRIPTION .NON HAZARDOUS°PRODUCT PIPE GENERATING PROCESS REMOVAU REPLACEMENT <br /> tZ COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM <br /> C7 PIPE 89-100°/a <br /> 1. 3. <br /> ORGANICS k: �1°1a <br /> 2. 4. _.— <br /> Wast¢Profile 100403CA PROPERTIES: pH ❑ SOUD ❑ LiOuio ❑ swDGE ❑ SLURRY ❑ OTHER <br /> HANOUNGINSTRUCTIONS: : WEAR ALL APPROPRIATE PERSONAL PROTECTIVE EQUIPMENT, <br /> Generator PrintecMped Name Signature Month Day Year <br /> Larry Moothart of BESI on behalf of generator <br /> The Generator certifies that the waste as described is 100%non-hazardous <br /> Transporter 1 Company Name Phone# <br /> SELSHIRE "200 <br /> WTransporter t Printedfryped Name Signature Month Day Year <br /> Transporter Acknowledgment of Receipt of Materials . <br /> (J) Transporter 2 Company Name. i Phone# <br /> Transporter 2 Printed/typed Name SlgnawMonth Dara 1 Y Year <br /> Transporter Acknowledgment of Receipt of Materials <br /> Designated Facility Name and Site Address Phone# <br /> CWA-KETTLEMAN 8 00-222-2964 <br /> -� 35261 OLD SKYLINE ROAD <br /> U KETTLEMAN CITY, CA 932,39 <br /> lei. <br /> C'3 <br /> Z <br /> VPdnted/Typed N e / Signature <br /> W <br /> Designated Fatality Owner or Operator:Certification of receipt of materials covered by this dale form, <br />