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02/07/2006 17: 18 9256340874 DILLARD TRUCKINC- PAGE 11/29 <br /> NON-HAZARnni IS WASTE MANIFEST <br /> Filen print or Wy (Form defignod for uho on nllto(12 pitch)typewrlteh <br /> "M ' NON-HAZARDOUS 1.Ganoratarn UB EPA ID No. Manllest 2-Page 1 <br /> WASTE MANIFE. C A L 0 0 0 2 2 3 6 S 6 Document No 1 1 7 1 4 o1 ] <br /> a.GeneratdrsName and MaltingAdtlross MAIL; BP WZ3T COAST PRCNICTS, LLC <br /> ARCO #395 PO HOZ 80249 <br /> S1d0 S RTGHWAY 99 RH MARGARITA, CA 12588 <br /> d �S aQCATOl4, CA ATTV AYLM CHRISTIE <br /> 7-k A 670-5303 HYRF36010203 <br /> 5.Transportor I Company Name t3. US EPA ID Numoer A.State Transporipen ID <br /> IIT SUVIROilNENTAL SVCS. C A D 9 8 2 3 2 3 A 3 a.Transportort Phone {92 )634 695 <br /> 7.Tnangporter 2 Company Namo D. US EPA ID NumDnr C.State Transporters fD <br /> :.' D.Transporter 2 Phone <br /> P,Desivateo Facility Namo and Shy Address 10, US EPA 10 Numhnr E,Slate Fae llty9 10 <br /> FORNAM ZSC. LANDif ILZ, <br /> 9999 30II'T3� 'kUST'I1_4 ROAD <br /> MANTECA, CA 95335 r.Faculty'&Phone <br /> C A L 0 0 0 1 9 0 0- 8 0 t209 982-,4298 <br /> 11.WASTE DESCRIPTION 12, CoMelnera 13. 1a, <br /> Total Unit <br /> No, Type Total <br /> Wt.Nol. <br /> a, <br /> NON HAZARDOUS SOIL, (pe: 6087) <br /> 3 S T <br /> atl B T Y . <br /> G b. <br /> N <br /> E <br /> R c - <br /> A <br /> T <br /> O <br /> LU R d. <br /> h- <br /> G.Addlflonal Descomons for Malenal!Listad Abova H.HandlingCatlin for Wa <br /> ales LIMW Ab.. <br /> C _ 7.1x. 6487 <br /> 11-d. <br /> � <br /> Z16.Spactal HAndllnp tnstruction!and AtlC1lHonal Inforrnatlon <br /> 1; En+ergency C0ntaet(92S)634-68s00ILLWW JAN 2 0 2006 <br /> Z Job 0 1-319 <br /> O <br /> Ry <br /> 18,Infi ocar c OR•S CERTIFICATION:I heree44yy tertl}y chat tha corrtgntg of this ehlpmeM are A,tlyy and accurately descu Dad and am In all r8apncla <br /> • In proper condition for tt..rnsport,The meterlale dwHbod on lhlsr mandest are not subject to IndOral hazardous wast a Mularlann, <br /> Dara <br /> PrinMd/Typw4 Name Slgvetu Month Day Year <br /> w- ROAM FOR )MO / <br /> T 17,Transporter 1 Ackno vwdg—ent of Receipt of Maledale Dste <br /> R <br /> A P edrrypcd Noma )) Signature <br /> S f�d s � M'wro1 Day Yaer <br /> 0 18.Transporter 2 Ackrtgwfndpemerlt of R�ecetptof Malodola •� <br /> T Prlrltedrryped Namy Data <br /> E Slgnmure Month 0py Year <br /> R <br /> F di <br /> 19.Dlncmpancy Incnuon sWe <br /> A <br /> C <br /> 2D.Facility owner or Op Mr,Cenlacalibn or receipt or ttre wtuta m=46411=wed by thle menfTost,mrcisM as noted I 1 item 19. <br /> L <br /> 1 <br /> Dale <br /> T FrlmeN typed Namo / ... Sipnsturo ` <br /> Y '!•% Paxar <br /> OF14 io aoo:t INELAA-WMt (500)621•1909....-r..laha1mmta.mm <br /> .. , .... Y',,,YYcr•.^. -'a'tI', _:.,• .. 'akzj;jam ,) <�( 'j ? F,�,{.�.: ..:.•,• .� u.e°�arrw.. ._ .` <br /> `r <br />