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y i RE <br /> TOM <br /> 6411 <br /> 106 <br /> No <br /> as <br /> .SyStemSl 2 ;AL NN <br /> -HAZARDOIA SPECIAL�WASTE MANIFEST <br /> `^ OWNING-FERRIS iNC JSTFtIE9 O - <br /> ARCO STATION #2093 . <br /> Generator Name -ARCO PRODUCTS t Ge eating Location <br /> 4 \1 d f <br /> F.O.. BQX,5811 Address 3 25 Tracy Slvd. <br /> Ldress <br /> Tracy. CA <br /> San Matea, CA - 94402 <br /> l[ =, .- _i No 4 1 5 Ph4nl V`o ' � <br /> hone a= , <br /> .2 9 O 1 �' f� Caritainers �YPe <br /> D-Drum <br /> Fl Waste Code C M-'w'�. T uantl Units No <br /> Description of Waste"LQ e C-Carton <br /> - 0 07 -0 1 8B-Bag`s. <br /> NON tIAZA MOUS SOIL. T -TruA <br /> m P -Pounds <br /> E:E=r Y `- Y-Yards <br /> �� _=�,, ���. ❑ L�i--� ❑ O-Other <br /> w r <br /> 4 „Ij 3 <br /> J - <br /> hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable <br /> state law, is not a hazardoysiwaste as defined by 40 CFR Part 261 of any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition for transportation according to,applicable regulations <br /> `r//,/ X � �� x �t �+ a p ^ r1 y �•. ►ap t I�l-+'1�. L <br /> iw p.til Yah." <br /> .. AtJ�tlOri7�ed�I1, <br /> jsloj'634-6_850a " <br /> Phone <br /> No. <br /> Y� „ <br /> 1004/21 Ay <br /> ra..T .,. ' �yPv ► r�' It;(%laid Tviclking- i►C• Driver Name (Print) <br /> rferAfarne � 2 <br /> Y J <br /> tgpx 218 Vehicle License No/State ` <br /> Address <br /> gyrpip, :oA A 94514 Vehicle Certifipation - �� •/ <br /> I hereby certify thdt the above named material was picked up I hereby certify that the above named material was delivered wit' <br /> at the generator site lusted above out incident to the desti ion listed low <br /> J lJ oei,very Date <br /> Driver sign ure whipmjf:it� ate Dnver Signa ure <br /> DESTINATION <br /> Site Name B.F.I. Vasco Rd. Landfill P.O.UO2-10054 Phone No <br /> 4001 North. Vasco Road, Livermore, CA 94550 <br /> Address - <br /> I hereby certify that the above named material has been accepted and to the best of my knowledge the,fregoing is t-ue and accurat <br /> Receipt Date <br /> Name of Authonzed Agent Sr nature / <br /> ' PASS CODE <br /> SF1260 7 <br />