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.ECIAL-WA"."BESTOS <br /> MANIFEST <br /> / <br /> �r .�~rr If waste Is asbe Waate,complete Sections I,H,Eq d IV. NO-512265 <br /> '- <br /> ''' 'If wastrtis NS?I asbestos waste,oomplete Drily sections I,A and III <br /> ONE p�, <br /> Geier or F Maw � CCJRi JM <br /> A <br /> � b Generating Location UMT10tR #06020 <br /> c Address ~ ' P 5477 YT1I S. ?�B;1�fIT>!± <br /> d Address <br /> BMlifil, PARK, QI 90622-'5077 MANTECIL, to <br /> PhoneNo (925) 29%-8891 PAUL SMLZ <br /> If owner of the generating facility ciders from the generator,provide, f Phone No <br /> Owner's Name AWO V20rAXVS 0:011PANY ' <br /> h Owner's Phone No same as x(e) <br /> i BFI WASTE CODE C A Q S r 5 1 4 [�� <br /> TYPE <br /> " Containers DM-METAL DRUM <br /> �8 DP -PLASTIC DRUM <br /> Description of Waste SOIL k Quantity U04S No TYPE BA - G <br /> MIL PLASTIC BAG <br /> o ` or WRAP <br /> T -TRUCK <br />' GENERATOR'S CERTIFICATION I hereby certifyftgat the above named material Is not a hazardous waste as definesf by 40 CFR Part 261 or UNITS <br /> O `OTHER <br /> any appl"ble state law'has bae4 property cieScnbed, claselfied and packaged,and is in proper condition for transportation accordingto <br /> aPPIIC We regulations AND,111"11116 waste Is a treatment esidus of a previously restricted hazardous waste subject to the Lend Dispoal Y -YARDS <br /> -POUNDS <br /> Restrictions.I oartify and warrant t fhe Waste has bee treatey In edaordance with the requirements of 40 CFR Part 268 and is no longer a <br /> hazardous waste as defined by C�Fj Part 261E 9 M -CUBIC METERS <br /> , > I �'®Q�48 AAOf7 >?RO?`a�K'TS CCINt My Ya -CUBIC YARDS <br /> CU W" bf.te a ,` # '711' 14=4 — O -OTHER <br /> GensratorAuthoriZed Agent Namef; -`,� � �^'Signature Shipment Date <br /> TRAI�fSPORTER I TRANSPORTE=R B <br /> h Name <br /> I Address <br /> Z i t <br /> ittriver,'NametMe 14A a_ j Driver Namelritle <br /> PFUNTfrWE <br /> hone No t e Truck o Y A ~ I k Phone No I TruPmMu No <br /> Veale 1Joense No/State 1�� 3C 1-4 <br /> — <br /> AdIncMedgenient Of Receipt of Materials T <br /> m Vehicle License No/State <br /> Acknowledgement of Receipt of Materials <br /> IF <br /> Da6e 1]rhrer 5 rareR SIN 1 Data <br /> LE►lIDIP923 4432 � <br /> Y t c Phone No <br /> t, Y Address ' YA19C0 ' 4001 #t. VAsao > p <br /> d MAiling 4ddilress <br /> LIMB, CA 94550 t =VEPMR, CA 94550 <br /> i37sge <br /> Percy Indi"oraSpace <br /> t' x <br /> .r <br />,i�ereby certify thht tliie above named material has been accepted anis to the best of my knowledge the foregoing Is true and accurate <br /> JOB# 1007 207 <br /> � 1 <br /> aora.itq #peri IqO# 09-31158 <br /> RaoelP1 Data 4 <br /> tA ~ b Shippers'*Phone No <br /> hW1IDPQM`5_EMdress ' 1 <br /> PP ;SpeGal Handling lnstruCdOns and additional information <br /> lFlt,AT I hereb r <br /> y declare that the contents of this consignment are fully and accurately dpscdbed above by Aroper shipping nam(.and are cfassdied, packages <br /> Red,and I eiedlplacarded,and are In all respects in proper condRion;or transport according to applicable international-and national governmental regujations <br /> k � � y 9 7 , <br />