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F ............... kZARL_.JUS A,P1ZC i'z MAN1FES'T.-1,--. e 15 DM -METAL DRUM 11162 UAW AAAWAN no, d r4wss A, IM 9062 0'. i 923 13891 PAIL SUppLL;- . e:: Phone 299—f.'r Phon -,ff owner of the generating facility differs from the generator; provide: Al= PRODLIMS (XWANY g. Owner's Name: h. Ownc I.' BR WASTE CODE J.': Description of Waste: W)N—HAZAR.DOUS 90.TL k. #04493 Phd Nbl-Ssne as x(e) 23 :GENERATORS CERTIFICATION: I hereby certffy that the above named material Is not a haza any applicable state law -has been properly described, classified arid packaged. and Is in aPPIkabiS regulations: AND, If the waste Is a treatment residue ofI)T's, 'a ftU restricted FleStrictiOns, I certify and warrant that the waste has bee n a000rdance ea hazard Waste as defined by 4a CFA Part 261. requ 2 HM SSA KIRK—DILLARD fK1 1-4 .CieneratorAuthodzed Agent Name re TRANSPORTER TRANSPORTER II DILLMD 1TRrJCKItqG, INC. h. Name: PM 57qJ i. Address: CA "94514 r arnefl`100 9 r Nameff-it! -N PRNTRYPE. e: VZtr-_.634-6850 F�RINWYPIE k. Ph rte No.: I. Tni6k No.: `4 'Phone No, T L H*Wa f. '-Vehicle License No./State: rh.�Vehlcle License No./State: AIL Acknowledgement 61"keoeipt of Material-& noWedgernent lPt of Materialsf. n, TT1 $larwtuffl ShIpmem DXe a Site Name: (925) 447-0491 c. P ne*No..- 4001 N. VASco ROAD b. Physical Address: 4001 N. VASCO ROAD LIVERMORE, CA 94550 d. M ling Address LIVERMORE,' CA 94550 e. Discrepancy Indication Space; I hereby certify that the above named material N=* of ALfthamm A..rd ..... . . . . . . . . . . . . . . . .............. . . . . . . . . . . . . . . a. ShIppersV1 Name: a Shiplpers'0 Address: ? d. Shippers"s special Handling Instructions and additional ir1formav 0 U--ff"FICATION: I hereby declare that the contents of narked, and labiged/placarded, and are in all respects in; b. Shf0pers's* Phone No.: and accur*tely described bed above by roper name and are classified, pe It acoordl2q toapplicableintenvitiored and national govemnIgntal regulations. I TYPE ��®DP Containers DM -METAL DRUM - PLASTIC DRUM B -BAG tkft No. TYPE BA'- 6 MIL PLASTIC BAG or WRAP T - TRUCK 10 - OTHER 5 waste as defined by 40 CFR Part 261 or UNITS ler Condition for transportation according to p -POUNDS irdous waste subject to the Land Disposal y YARDS . of 40 CFR Pan 268 and is no longer a mts : . M CUBIC METERS PRODUCT'S CMPW a Y CUBIC YARDS L? id� IP 17 i 0 OTHER ShIprnprA Date TRANSPORTER TRANSPORTER II DILLMD 1TRrJCKItqG, INC. h. Name: PM 57qJ i. Address: CA "94514 r arnefl`100 9 r Nameff-it! -N PRNTRYPE. e: VZtr-_.634-6850 F�RINWYPIE k. Ph rte No.: I. Tni6k No.: `4 'Phone No, T L H*Wa f. '-Vehicle License No./State: rh.�Vehlcle License No./State: AIL Acknowledgement 61"keoeipt of Material-& noWedgernent lPt of Materialsf. n, TT1 $larwtuffl ShIpmem DXe a Site Name: (925) 447-0491 c. P ne*No..- 4001 N. VASco ROAD b. Physical Address: 4001 N. VASCO ROAD LIVERMORE, CA 94550 d. M ling Address LIVERMORE,' CA 94550 e. Discrepancy Indication Space; I hereby certify that the above named material N=* of ALfthamm A..rd ..... . . . . . . . . . . . . . . . .............. . . . . . . . . . . . . . . a. ShIppersV1 Name: a Shiplpers'0 Address: ? d. Shippers"s special Handling Instructions and additional ir1formav 0 U--ff"FICATION: I hereby declare that the contents of narked, and labiged/placarded, and are in all respects in; b. Shf0pers's* Phone No.: and accur*tely described bed above by roper name and are classified, pe It acoordl2q toapplicableintenvitiored and national govemnIgntal regulations. I