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j' 4 • �a`aver • .l �: ,..'. — � ,. 'tri-c a _ <br /> �Illaste }` ' • 1125861 -- <br /> RAS <br /> 125861RRIS INDUSTRIES <br /> NON-HAZARDOUS -SPECIAL`WASTEMANIFES <br /> Generator Name ARCO PRODUCTS Generating Location ARCO STATION #2130 <br /> 'Addressh Q•O. Bax 5812Address 7906 N. E1 Dorado Street <br /> Sar. Mateo, CA 94402 Stockton, CA <br /> 'Phone Nor `4 1 5 5 '7 1 2 4 3 4 <br /> _ Phone No <br /> BFI Waste Code C 9 9 3 6 0 2 O 2 Containers Type <br /> Desert tion of Waste Quantity Units No T e D- drum <br /> C -Cartor <br /> NON_ HAZARDOUS SOIL 10, 1010, <br /> Q 1 $ 1 B - Bag <br /> _ m T -Truck <br /> P - Pound <br /> Y -Yards <br /> Lm E] 0-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 26010or any applicable <br /> ., state law, is not a hazardous waste as defined by 40 CFR Part 261 or any applicable state law, has been properly described, <br /> classified and packaged, and is in proper condition for transportation according to applicable regulations - <br /> f V> <br /> Agent Nam <br /> 'Benere�au ! A9 e:?? signature_ *'"''r• ?;'. ` Shipment Date- <br /> TRANSPORTER <br /> ats a • <br /> kiTrTruck;No._ Phone No =5103 634-6850 <br /> ansport•r Name Dillard Trucking, Inc. 1004/36 Driver Name (Print) <br /> Fddress P.O. Box 218 Vehicle License No/StateE _S` <br /> Byron, CA 94514 Vehicle Certification 02 1 <br /> khereby certify that the above named material was picked up I hereby certify that the above named material was delivered with <br /> t the ge for sit steel above - out incident to the destination listed below <br /> i®nature Shipman;Date D er"Tgnature Delivery Date <br /> • <br /> Site Name B.F.I. Vasco Rd. Landfill P.O.# 02--10055 Phone No 1 Q 2 <br /> tddress 4001 :worth Vasco Road, Livermore, CA 94550 <br /> hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate <br /> e of Authorized Agent Signature Rene+ t Da <br /> r <br /> PASS CODE <br />' BF1260 720 31 <br /> TRANSPORTER RETAIN <br />