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;Waste No 1125862 <br /> . stems �.. <br /> ROWNIt�IC-F F1151hfDt1STR1ES .�ri; ,Y`V, 0iV-HAZARDOUSwSP'ECIALWASTE MANIFES' <br /> c r- < <br /> Generator Name-'ARCO PRODUCTS _ _. ..,._.. Generating Location ARCO STATION #2130 <br /> - 1 <br /> ,Address 1'' = fox 5811 Address 7906 N. 81 Dcirado Street <br /> Satz Mateo, CA 94402 Stockton.- CA — <br /> 'Phone No 1 5 5 7 11- 21 4 -11 <br /> 4 Phone No <br /> BFI Waste Code 4 0 5 0 9 0 4 9 3 S 0 2 a 2 Containers Type <br /> Description of Waste _ Ouantity Units No Type D-Drum <br /> C-Carton <br /> NON HAZARDOUS SOIL 0 0 0 1 8 T B - Bag <br /> T -Truck <br /> �. P - Pound.c <br /> Y -Yards <br /> T7 I I ❑ m 1:1O-Other <br /> i <br /> 1 <br /> I hereby certify that the above named material does not contain free liquicf-as defined by 40 CFR Part 260.10 or any applicable <br /> state laver, is dot 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 transporta#ion according to applicable regulations <br /> orator AutfrilteiJ nt Name +,�; ignetura -_ _ Y k z+ h merit Date <br /> y ire �Mti� (: �� 1�ir <br /> -+. A <br /> _ F1 <br /> nick N � �hp -Np"-- - a,„ - <br /> So <br /> ^~_�..__+n <br /> DtI Likj'd{,Trii>E k Inc. 1004/36 k' big ♦wA::FiiSL"r` "t Y <br /> FTransporterM b�.- D ver Name (Print) <br /> —,Vehicle License NoJStra <br /> <,rLk�Syx{pili,;CA =94514 �. <br /> `4 r Y _,Vehicle Certification <br /> hereby�erti�~thathe above named inateilal was picked up 1 hereby certify that th vimed material was delivered with <br /> 'the 0eneyator site listed above r�--y out mcident, a#fie des ki ion:listed below <br /> Driver aT i Shipment Date Driver Delivery Date <br /> DESTINATION <br /> rIto Name B.F.I. Vasco Rd. Landfill P.O.# 02-10055 Phone No <br /> ddress 4001 North 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 /> r' <br /> ame of Authorized Agent Signature Fiecei t Da <br />' PASS CODE <br /> 8FI260-720 3 <br />