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t40 <br /> ste <br /> 1125869 i <br /> K�.-+ <br /> ctems NOa�eNi�ms�-4!a . R- D''r'v OVi_ik+ Ul_``^`S r r Pi{it*t EtC,,r 1:Ai,^.�TLi.war3ac+1-•k•4(A� <br /> r� <br /> S= Tr^E <br /> -MAMFESI <br />:ROWNINGFERRIN <br /> ARCO PRODUCTS "�,-_ ar;_,:,' > ARCO STATION 192130 <br /> kenerator Name Generating t_ocation <br /> . r Box 5811 > >i f'E '',_ Address ''7908 X. E2 Dorado-Street <br /> jAddress PO _ - ^� y _ <br /> w- <br /> f ,Y <br /> San Mateo, CA .94402-r...- � SCock16. CA <br /> Phone No ` 1 5 %t y 1 2 = 3 4 Phone No y J y n <br /> 13F1 Waste Code 4 fl 5 1. 0 9 Q 9 9 3'1 16 0 2 Q 2 Containers <br /> Description of Waste Ouantit Units No T e C-arum <br /> C-Carton <br /> NON HAZARDOUS SOIL � = 0 O 0 1 8 � � T B-Bag <br /> T -Truck <br /> ❑ m ❑ P -Pounds <br /> Y-Yards <br /> t Elm ❑ O-Ocher <br /> I hereby certify that the above"named material does not contain free liquid-as defined by 40 CFR Pan 26010 or any applicable <br /> state law, is not a hazardoys waste as defined by-40 CFR Part 261 or arty applicable state law, has-been properly described, <br />' classified and packaged;-and is in proper condition for transportation according to applicable'regulations . . <br /> �, � ," ,� ::�;_� •�' "��'r-eta=�, � <br /> aerator Authorized Agent Wamg _ r,. ;;Signatuna;4 V14A Im.;,�TRANSPORTER <br /> ' - ^ -1 ��- {L L��.,T� 2-�� ''' �� ` i�-i"«J �,u�d'�_'''''� x`...� r"�� :'' ��tiA.•r.�...��i„` ` F 1t��tlr�'•^ <br /> Truck No Y = J4� , rPhone No a _ <br /> DillsiLd Trucking; Inc.t�1Dy v���iamePt7nt) <br /> Transporter Name - , r - <br /> P.O. Box 2I$ �' A� Y _,a < '�✓ y` Amu OF <br /> P.O. <br /> lAddress _ �'�/efucla License io!Stat <br /> <<- ,� =gib ._ —�/crI <br /> Byron, CA,--94514 , - le Certification <br /> �/ 'r ' <br /> Y r <br /> 1 I hereby certify that the above named material wW pi ye ,�iys r`' 'ye-rW&by certify that the above named material was delivered-with- <br /> at the ener sde listed above -" , ,- �-,,out incident ta the destination listed bellow <br /> r <br /> D ve Ignature 5 ipment Date Zodignature Delivery bate <br /> DESTINATION <br /> Site Name B.F.I. Vasco Rd. Landfill P.O.# 02-10055 Phone No 5 1 fl —4 4 17 14 k 9 1 <br /> Address 4001 North Vasco Road, Livermore, CA 94550 17 <br /> 1 hereby certify that the above named material has been accepted and to the best of my knowied a the foregoing is true and accurate <br /> ame of Authorized Agent Signature Recei <br /> ot <br /> PASS CODE <br />' BF1260-720 <br /> TRANSPORTER RETAIN <br />