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`ice,t->tiit <br /> 0- <br /> 1125864,. ,, -vyM, <br /> � astTems'mf�T <br /> st <br /> ROWINE � sHAARD4US— PECrAL- 1ASTE- MANIFE <br /> STRIS CN-RINDUS <br /> Generator Name ARCO PRODUCTS _ t Generating Location --ARCQ STATION #21313 <br /> Address -P.O. Bax 5$1+1-�� Address - 7906_N. El Dorado StrgaL, <br /> San Mateo, CA 94402 Stockton. CA <br /> r .LL i <br />' Phone No 4 1 5 '^ w 5 -7 1 2 4 3 4 Phone No W_J <br />' BFI Waste Code 4 a 5 U 9 0 9 9 3 b 0 2 0 21. Containers Type <br /> I' Description of Waste Quantit Units No T e D- Drum <br /> ® C-Carica <br />� NON HAZARDOUS SOIL . - 10 10 in B - Bag <br /> T -Trucl <br /> Y � ❑ � ❑ P - Pouncc <br /> _ Y-Yards <br /> �r m ❑ o-Other <br /> I-hereby certify that the above named matenal does not contain free liquid as 4:iefined,byAD CFR Part 260 10 or any applicable <br /> state law, is not a hazardous wastetas defined by 40=CFR Parti261 or any appficabie state law, has been properly described, <br /> classified and packaged,and is-in proper condition for transportation according to applicable regulations _ <br /> ,y `'ACs`r�,� +s r 4�' �` �' '`i;,iFv � _ ,'.��'ti�i TS•i _ice iJt 'sls; <br /> TRANSPORTER <br /> 41 <br /> =__-- �� �Nt Phone No <br /> Truck No (510) 634-6850= ti F <br /> t ' z4 4 <br /> `= <br /> Dillard T;itcking; Inc. 1004136_ <br /> Transporter Name Driver Name (Print) J Zen <br /> Y_ <br /> P.O. Box 21.8 <br />' Address_ - - = Vehicle License No/State <br /> -Byron, CA 94514+ , _ <br /> ' .. Vehicle Certification -• <br /> I hereby certify that the above named=material was pickedrvup a I hereby certify that the above narhed matenal was delivered wit[ <br /> at the generator site listed above _ _ �S; out incident to the destination listed below. <br /> 04 <br /> =]river Sig Shipment Date Qri Delivery Date <br /> - DESTINATION <br /> Site Name S.F.I. Vasco Rd. Landfill P.O.# 02-100"-- Phone No <br /> w <br /> Address 4001 North Vasco Road, Livermore, CA 45�iU� <br /> I hereby certify that the above named material has been accepted and to the best "Jy knowledge-the foregoing is true and accurate <br /> ' � c <br /> ame of Authorized Agent Si nature Receipt D <br /> PASS CODE <br />' BF1264 720 <br /> TRAINMPORTIPR Pi~TAINI <br />