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NON-HAZARL-_ US SPECIAL WASTE & ��3BESTOS MANIFEST <br /> If waste is asbestos waste,complete Sections I H III and[V No. 512:289 <br /> H waste is NOT asbestos waste,complete only Sections t II and III <br /> Y`' k�;.�z + * Itr '-GENgFiATORs ,Qer16l8tOr <br /> Jenerator Name AR`O PRODUCTS �iPANY b Generating Location <br /> ARCD STATION #06020 <br /> Address PC9B -SW7 d Address 1711 S. "SMITE <br /> SUM PARK, CA 9062-5077, _ URNTWR, CA <br /> Pr No (925) 299-8€391 PAUL SUPPLE f Phone No N/A <br /> tner of the generating facility differs from the generator,provide <br /> ner's Name ARM PRJODUC'>i'S COMPANY h Owner's Phone No Sam E18 I f t$) <br /> UP E <br /> I WASTE CODE C A 4 0 5 O 5 D 4 9 O 2 1 0 3 4 1 Containers DM-METAL DRUM <br /> DP -PLASTIC DRUM <br /> B -BAG <br /> fescription of Waste NON—FULZARDOUS SOIL k OuanL units No TYPE BA -6 MIL PLASTIC BAG <br /> or WRAP <br /> �00 <br /> O / E O 1 T •TRUCK <br /> O -OTHER <br /> RENERATOR'S CERTIFICATION I hereby certdy that the above named material is not a hazardous waste as defined by 40 CFR Part 261 orf,�NITS <br /> any applicable state law, has been property described classified and packaged and is in proper condition for transportation according to P -POUNDS <br /> azardo <br /> piicable regulations,AND,if the waste Is a treatment residue o1 a previously restricted hazardous waste subject to the Land Disposal Y -YARDS <br /> stnctions,I certify and warrant that the waste has been treated in accordance with the requirements of 40 CFR Part 268 and is no longer a M' -CUBIC METERS <br /> us waste as defined by 40 CFR Part 261 at tae- rw4ueet of AF>M PRODUCTS f'—A1r'AMY Y3 -CUBIC YARDS <br /> O -OTHER <br /> IIAMISSA KIRK/ DILLARD EWIM40 !; J`r`! ��� _ <br /> Li I <br /> enerator Authorized Agent Name Signature Shipment Date <br /> Transporter I Gam Iete t�g N <br /> TRANSPORTER (Generatorcomplate a-d, Trans rterit co fete h-n <br /> TRANSPORTER I ; TRANSPORTER 11!�' 1��% iv �� F f /'�~ ' [ h Name <br /> G i Address <br /> Address / <br /> Driver Name/Tdle �f f r " f I Driver Name/Tdte PRlt�rrtwE <br /> PRINTltYPE <br /> one No !� .l ' e Truck No t k Phone No 1 Truck No <br /> Vehicle License No/State ri m Vehicle License No./State <br /> nowledgement of Receipt of atenals Acknowledgement of Receipt of Matenals <br /> Ir I <br /> id n <br /> pew J Sid Data Driver S nah" Std Data <br /> " � � � �s, °�' ":����x"e Y,�'.`^�u-Y aro <br /> ESTINA'�tO N {Generator c�rrtetes a3,arm <br /> BFI — VASCO ROAD SANITARY LANDFILL (925) 447-0492 <br /> e Name c Phone No <br /> ysiCal address d Mailing Address <br /> I <br /> L1%,'rJU40l-E, Mu4�50 LIV�si:;:3?:', cm :4556 <br /> Discrepancy Indication Space <br /> �ereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> J"'B 1007/2 C6, <br /> fne or Auax)rized,agent Signature Receipt Date <br /> on IV ASBESTOS (Generator complete a-d,f,g,Shipper*completes e) <br /> ppers's'Name b Shlppers's'Phone No <br /> ippers's•Address <br /> ippers's Special Handling Instructions and additional information <br /> IFICATION I hereby declare that the contents of this consignment are fully and accurately described above by proper shipping name and are classified packaged <br /> tar ed and labelediplacarded and are in all respects in proper condition for transport according to applicable international and national governmental regulations <br />