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-.. .s - ."nvaty p,�.v �cw�iaacw naatq�.un�ynvw In Vi13. +�u Wiu L4 -- <br />Units No. .TYPE <br />LGenerator <br />b. Generatt g vocation. <br />X493 <br />:w <br />c._.Address_ _._ 3UY7 .. :.d5 <br />_ <br />d Address: <br />s wiry <br />GENERATOR'S CERTIFICATION: I hereby certify that the above named material Is not a haze <br />e. Phone No.: 9S)'99869I P�iL PIX <br />f. Phone N <br />If owner of the'. generating facility -differs from the generator, provide: <br />any applicable state law,. has been properly described, dassihed and packaged, and is in pro <br />r oondition for transportation according to <br />P <br />g. Owners Name: M= PRODUCTS CCHPA19Y .: <br />h. Owner's hone No.'... <br />rdous waste subject to the Land Disposal <br />Y <br />I. BFI WASTE CODE I. 0 9 is <br />lj�Z Q 9. 4 <br />B. -BAG <br />:�: <br />�Y T -TRUCK WRAP <br />. O -OTHER. <br />Con . <br />tainers". DM ..METAL DROidI <br />DP - PLASTIC DRUM <br />j.- Description of Waste: k. Quanti <br />Units No. .TYPE <br />BA :--6 MIL.-PI:A$TIC BAG <br />KO <br />O� <br />;i <br />GENERATOR'S CERTIFICATION: I hereby certify that the above named material Is not a haze <br />.waste as defined by 40 CFR Part 261 or <br />UNfTS - <br />any applicable state law,. has been properly described, dassihed and packaged, and is in pro <br />r oondition for transportation according to <br />P <br />-POUNDS <br />applicable regulations-, AND, ff.the waste is a.treatmeirt residue of a previously restricted h <br />rdous waste subject to the Land Disposal <br />Y <br />- YARDS :. <br />Restrictions, I certify arid.warrant that the waste has been treated In rdarwe with airs <br />of 40 CFR Part 268 and is no longer a <br />Me <br />-CUBIC METER$ <br />hazardous waste as defined by 40 CFR Part 261. r t3 q A <br />PRODUCTS COMPANY <br />Ys <br />- CUBIC YARDS. ' <br />Q <br />-OTHER <br />Y�ZISSA RiRN/ DLI,AtiD <br />(� 1 <br />Generator Authorized Agent Name S <br />Shlpmerd Date <br />_ <br />BPI — VASCO ROd�D SANITARY LANDFILL <br />a. Site Name:, . c. F <br />4001 N. VASCO ROAD <br />b. Physical Address: d. h <br />LIVERMORE, AMORE, CA 94550 <br />a. Discrepancy Indication Space: <br />1 hereby certify that the above named material has been accepted and to the best of <br />I <br />of Authomed Agent <br />(925) 447-0491. <br />No. <br />Address <br />4001 N. VASCO ROAD <br />LIVERMORE, CA 94550 <br />ovvledge the foregoing is true and accurate. <br />JOB# 1007-112 <br />l S P0# 09-30313 <br />Receipt Date <br />a. Shippers's* Name: b. Shippers's* Phone No.: <br />c. Shippers%* Address: <br />d. Shippers's Special Handling Instructions and additional information: <br />CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurat ly described above by proper shipping name and are classified, packaged <br />marked, and labeled/placarded, and are in all respects in proper condition for transport according t applicable international and national governmental regulations. <br />