SITE HISTORY - Laserfiche WebLink

Home Browse Search

NON-HAZARD&Pw SPECIAL WASTE & AZSTOS MANIFEST if waste 611447 waste is asbestos waste,complete Sections I,[I,III and N. Ifwaste is NOT asbestos waste,complete only Sections 1,11 and III. Generator Name: ARCO PRODUCTS COMPANY b. Generating location: ARCO STATION #00595 Address POS 5077 d. Address: 6100 N. HWY 99 BUENA PARK, CA 90622-5077 STOCKTON, CA Phone No.: (925) 299-8891 PAUL SUPPLE f. Phone No.: N/A rwner of the generating facility differs from the generator,provide: Owner's Name: ARCO PRODUCTS COMPANY h. Owner's Phone No.: Sartre as I(e) TYPE C A 0 BFI WASTE CODE 4 5 0 92 0 9 9 0 2 2 5 7 Containers DM-METAL DRUM OP -PLASTIC DRUM B -BAG Description of Wase: NON—HAZARDOUS SOIL k. QuantitV Wits No. TYPE BA -6 MILor WRAP BAG 0 0 0 Y 0 1 T T -TRUCK O -OTHER GENERATORS CERTIFICATION: I hereby certify that the above namqd material is not a hazardous waste as defined by 40 CFR Part 261 or UNITS any applicable state law, has been property described, classified a�d packaged, and is in proper condition for transportation according to p -POUNDS applicable regulations;AND,If the waste Is a treat F esidue of a previously restdctetl hazardous waste subject to the Land Disposal Y -YARDS Restrictions,I certify and arrant that the waste h been tr n}�ccord'ance w/�,the requirements of 40 CFR Part 268 and Is no longer a M' -CUBIC METERS ous to as efined by 40 CFR Part 261. _ lej reque4t 1of ARCO PRODUCT Y' -CUBIC YARDS ��`� �7� 5—DILLARD Generator Authorized Agent Name ignature Shipment Dale S _ RR (Gene aioroomp. sT(ens `rteuII TRANSPORTER[ TRANSPORTER II DILLARD TRUCKING, INC. h. Name: Name: Address: POB 579 L Address: . BYRON, CA 94514 . Driver Name/ritle: — .- j. Driver Name/title:TYPE PRINrmPE ._•_.. - 925—C{34368`sQ'1 /P Phone No.: Truck No.: I k. Phone No.: I. Truck No.: . _7 Y !� 1 la VZeh te: r m.Vehicle License No./State: o(Materials. O C - - cl Acknowledgement of Receipt of Materials n. " giver nWtle Sh mem Daze Driver Si nature Shy mem Dale O xpESTINATIbN (Generatorpompletes . es)iN4 .:. ; �<. .. _ k - BFI }— VA�CO ROAD SANITARY LANDFILL (925) 447-0491 �. Site Name: c. Phone No.: 4001 N. VASCO ROAD 4001 N. VASCO ROAD I t. Physical Address: d. Mailing Address LIVERMORE, CA 94550 LIVERMORE, CA 94550 t. Discrepancy Indication Space: I hereby certify that the above named material has been accepted and to the best of my knowledge the foregoing is true and accurate. 101.7-12e Pog 09-31515 Nen-of led Agcy Signature RaceiPt Date $2Ct10t1 Vr *�.,,2 4`:`. "ASBESTOS (Genemtord pletea-d,f.g.Shippercompfetese:)` . . a. Shippers%•Name: b. Shippers%e Phone No.: C. Shipperese Address: d. StlippemS Special Handling Instructions and additional information: CEF and ON: I hereby declare that the contents of this consignment are fully and accurately described abo.at by proper national governmental ne and are classified, packaged, antl labaled/Nacarded and are in all respects in proper condition for transport according to applicable international and national gcremmerttal regula[icrts