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asteNo 1125877 <br /> TMSystems <br /> tNG-MRRISINDUSTRIES - , NON-HAZARDOUS SPECIAL WASTE MANIFEST <br /> Generator-Name ARCO PRODUCTS Generating Location ARCO STATION 92130 <br /> tddress P.O. Box sail Address ' <br /> San Mateo CA 94402 <br /> hone No 1 5 5 7 11 2141 Phone No —1 1 171 EEIJ <br /> FI Waste Code =+ Containers Type <br /> Description of Waste Quantit Units No T e D- Drum <br /> m C-Carton <br /> L ,J B -Bag <br /> NON HAZARDOUS 'SOIL T -Truck <br /> r � ❑ L—� ❑ P - Pounds <br /> Y -Yards <br /> 5 ❑ m ❑ O-Other <br /> � <br /> I hereby certify that the above named material does not contain free liquid-as defined by 40 CPR Part 260 10 or 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 transpohation`according to applicable regulations <br /> .. <br /> 'S J lt_" y <br /> t _ <br /> tAQ9M iVame -• n ure ��,x.a s- _ =shipment Date <br /> TRANSPORTER <br /> truck No Y Phone No (510) 634--6850 <br /> ransporter Name Dillard Trucking, Inc. 1004/36 Driver Name(Print) �;��e t,r <br /> ddress P.O. $°" 218 Vehicle License NoJState JJI <br /> Pyrosn, CA 9451+ Vehicle Certification T'n A/U <br /> hereby certify that,the above named material was picked up 1 hereby certify that the above named material was delivered with- <br /> t the ner t ite listed above out incident to the destination listed below <br /> o9w Qnaiiure Shipment Date D r Signature Delivery Date <br /> DESTINATION <br /> lte Name B.F.I. Vasco Rd. Landfill P.O.# 02--10055 phone No S I 0 7 1 <br /> 4001 North Vasco Road LivermoreCA 94550 <br /> Address ' <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 /> ame of Authorized Agent Signature Receipt Dat <br /> PASS GODS <br /> BFE260-720 3 <br />