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,4' r No <br /> 1125875 <br /> SWtu <lC:t:rr'sr�W rA"r <br /> ys�err�s,�t�,,} t_ %[Nd-FERRIS ll l' <br /> } ` 'NON-HAZARDOUS SPECIAL WASTE MANIFES <br /> t E t1' • 4'Y` - <br /> -Ge&rator Name_' ARCO rRODUCTS- - - Generating Location ARCO STATION 02130 <br /> < P.O. Bax 5812 7906 N. E1 Dorado Street: <br /> Address Address <br /> San Mateo. GA 94402 Stockton * CA <br />'Phone No 4 5 -- 5 7 1 1 2 4 3T4 Phone No <br /> r BFI Waste Code 4 0 5 0 1 9 0 19 1 9 1 3 1 2 0 2 1 Containers Type <br /> -- <br /> Description of Waste Quantity Units No Type D- Drum <br />• - ❑ C-Catton <br /> ' - N01 AAZASt30iIS <br /> -SOIL 0 0 0 1 8 Y 0 T B -Bag <br /> � m T -Track <br /> ry_ <br /> _ FFI F1 !- 1 _J F-1P -Pounds <br /> t� Y-Yards <br /> 4- Elm ElO-Other <br /> I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 10 or any applicable <br /> state law, is not a hazardous waste as dbftn6d'.by 40 CFR Part 261 or any applicable state law.-has been properly described, <br /> -classified and packaged, and is in proper condition for 4ransportetion according to applicable regulations _ <br /> or Authorized Agard Name - - Sfpnature <br />'Truck No. � � 3 ` �Y r �� - Phoria No (510) 534-6850-,,- <br /> 1 r v r v t <br /> `MilArd Trucking; -Inc. 1004j36 <br />'Transporter Name A Driver Name (Pnnt) <br /> Address P.O. _Box-228 - Vehicle License No,/State <br /> r -- -- -�yron;-L'A---945><4_....� ,�_ , .._ �,� �, � { - - ✓d�-�,� �'��D�L <br /> r Vehicle Certification <br /> � l � <br /> #ier$by certify that the above named rnatenal was pigked.� up I hereby-certify fhaf"the above teamed material was delivered-with <br /> ftrther for site listed above -'- - �- -- out incide .the destination listed belowure Shipment Date Driver Signature Del"ry Date <br /> - E r <br /> DESTINATION <br /> ame B.F.I. Vasco Rd. Landfill P.a.# 02-10055 Phone No <br /> � - 4001 North Vasco Road, Livermore. CA 94550 <br /> I. <br /> ove named material bas been accepted and to the best of my knowledge tie foregoing is true and accurate <br /> f�7 <br /> x{ <br /> Signature Recei t to <br /> i � N h P <br /> 4 ' � PASS CODE <br /> BF1260.720 3 <br />