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12060007 - SI JI51 ENVIRONMENTAL CONSTRUCTION SERVICES, INC. May 24, 2012 F8LI Martin Ledesma 6 ^' 144, Bayview Environmental Services, Inc. od • 6925 San Leandro Street <11 Oakland, CA 94621 . Re: Asbestos Sample Results for 10297 S. De Anza Blvd, Cupertino, CA 95014 The following are the results of samples collected at the above site on May 23, 2012. Samples of _ drywall with joint and texture compounds and acoustic ceiling plaster suspected to contain asbestos were collected and delivered to EMSL Analytical in San Leandro, California for asbestos analysis. The results of the analysis are as follows: Asbestos Sample Results: Sample No. Description/Location Results 01 Drywall and joint compound in room 1. None Detected 02 Drywall and joint compound in room 2. None Detected 03 Drywall and joint compound outside closet 6. None Detected 04 Drywall and joint compound outside room 5. None Detected 05 Drywall and joint compound in room 3. None Detected 06 Drywall and joint/texture compound in room 13. None Detected 07 Texture compound only in room 13. None Detected 08 Drywall and joint/texture compound in room 13. None Detected 09 Texture compound only in room 13. None Detected 10 Acoustic plaster ceiling in'room 1. None Detected 11 Acoustic plaster ceiling in room 1. None Detected 12 Acoustic plaster ceiling in room 1. None Detected No asbestos was identified in the samples collected. No warranties are given for the asbestos content of building materials not tested. Topics not explicitly discussed within this document should not be assumed to have been investigated. • Please call me if you have any questions. Sincerely, 1 Ryan Govan DOSH CAC #92-0375 P.O.Box 5277,Bay Point,California 94565.Tel(925)370.2222. Fax(925)370-2282 • • \--O2 • • 9 • X10 13 _-0s 09—N 8 10 1 07 °6-N, 7 11-� 11 12 .3 15 6di 12�� 14 �a 5 4 3 2 zr, or, t3 10297 S. De Anza Blvd. N,scd, Asbestos Sample Locations Environmental Construction Services. Inc. Cupertino, CA 95014 *SIC ...�.»: P.O. Box 5277 Boy Point, CA 94565 p (925) 370-2222 Fox (925) 370-2282 5/24/12 1 ni EMSL Analytical, Inc EMSL Order 091208432 EMSL` 2235 Polvorose Ave,Suite 230,Can Leandro,CA 94577 CuslomerlD: ECSI85 Phone/Fox (510)095-3875/(510)1395-3680 CustomerPO: v`Y- huoJA•rww,emslmm Sanisandnersbr0emsl.cgm • ProjecUD: Alen: Ryan Govan Phone: (925)370-2222 Environmental Construction Servlces,lnc. Fax (925)370-2282 PO Box 5277 Received: 05/23/12 4:00 PM Analysis Date: 5/24/2012 Bay Point, CA 94666 Collected: 6/23r1012 Project: 10297 S.DEANZA BLVD.,CUPERTINO,CA 95014 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 and/or EPA 600/M4-82-020 Method(s) using Polarized Light Microscopy Non-Asbestos, Asbestos Samplo Description Appearanco % Fibrous % Non-Fibrous % Type 01-Drywall ROOM 1 White 5% Cellulose 95% Non-fibrous(other) None Detected 0912004322001 Fibrous Homogeneous 01-Joint Compound ROOM 1 White 100% Non-fibrous(other) Nono Detected 091200432.0001A Non-Flbras Homogeneous • 02-Drywall ROOM 2 White 5% Cellulose 90% Non-fibrous(other) None Detected 091206432.0002Fibrous 6% Glass Homogeneous 02-Joint Compound ROOM 2 White 100% Non-fibrous(other) None Detected 091206432800Non-Fibrous • Homogeneous 03-Drywall OUTSIDE White 6% Cellulose 90% Non-fibrous(other) Nono Detected CLOSET B Fibrous 5% Glass 0912064322003 Homogeneous 03-Joint Compound OUTSIDE White 100% Non-fibrous(other) Nono Detected CLOSET 0 Non-Flbras 09120643220o3A Homogeneous 04-Drywall OUTSIDE ROOM White 5% Cellulose 90% Non-fibrous(other) Nono Detected 0912044321404 5 Fibrous 5% Glass Homogeneous 04-Joint Compound OUTSIDE ROOM White 100% Non-fibrous(other) None Detected 0912004321e01A 5 Non-Fibrous Homogeneous • Analyst(s) _ Matthew Balongbacal(fit) Baoj a Ke,Laboratory Manager or other approved signatory • EMSL maintains N,tltity sinter to ret al analysts.nils report relates only to lyre samptea reported and may not be reproduced,ewpt In 4l,MmoA written eppmel by EMSL.EMSL ben no mporulblllty for sample cc/learnt adipes or onaryacat method tmllsWns. Wapcotaton and use of last made me the mpwlbllly of the dbrt 7Ne report must rot be used by the stent lodin pradcl mnfaUon,µpmol,or endorsement by MAAP.MST or any agency of the federal goverment Norvmatle organically bound materials present a protleo matrix end therms 0151 =amends g'Mmddc refxbon prior to analysts, Samples rscahed In good corGVan unless a0eowla aria.Esemafed aaancy.(tablas and ircerianly dale eatable upon nal turas manta(by the client bilary r aWlds mandaebrad Mtn mantes layers(1 e.dwleum,wallboard,ere)ere reported es a stye sample.Ned Dated a el% Stout analyze]by EMSL Analytical,Inc San Leandro,CA NVIAP Lab Cods 1910483•MA M000201,WA C2007 Initial report from 05/24/2012 15:24:10 Test Report PLM-7.10.0 Printed:5/242012 3:28:29 PM 1 u r; EMSL Analytical, Inc EMSL Order: 091208432 EMSL 2235 Pulverous Ave,Suite 230,San Leandro,CA 90677 CuslomerlD: ECSI85 PhoneeFac (510)895.38761(610)695-3680 CuslonerPO: hna:INnw,amsl.can e6nlsantlrdaA'dalrrsLcory PrejecllD: . Attn: Ryan Govan Phone: (925)370-2222 Environmental Construction Services,lnc. Fax (925)370-2282 PO Box 6277 Received: 05/23112 4:00 PM Analysis Date: 5/24/2012 Collected: 523/2012 • Bay Point, CA 94666 • Project: 10297 S.DEANZA BLVD.,CUPERTINO,CA 95014 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 and/or EPA 600/M4-82-020 Method(s) using Polarized Light Microscopy Non-Asbestos Asbestos Sample Description Appoaranco % Fibrous Y Non-Fibrous % Typo 05-Drywall ROOM 3 White 10% Glass 90% Non-fibrous(other) None Detected 0912004324005 Fibrous Homogeneous 05-Joint Compound ROOM 3 White 100% Non-I Brous(other) Nono Detected 0912064324005A Non-Fibrous Homogeneous 08-Drywall ROOM 13 While 5% Cellulose 95% Nan-0brous(other) None Detected 0912064320106 Fibrous Homogeneous 08-Joint Compound ROOM 13 White 100% Non-fbrous(other) None Detected 09120 4324006A Non-Fibrous Homogeneous 07-Drywall ROOM 13 White 5% Cellulose 95% Non-fibrous(other) None Detected 0912004324007 Fibrous Homogeneous 07-Joint Compound ROOM 13 While 100% Non-fibrous(other) None Detected 091206432MOM Non-Fibrous Homogeneous 08-Texture ROOM 13 White 100% Non-fibrous(other) Nono Detected 0912004324306 Non-Fibrous • Homogeneous 09-Texture ROOM 13 White 100% Non-fibrous(other) Nono Detected 0912004324009 Nun-Fibrous Homogeneous Anayst(s) Matthew Betongbacal( 9) Borgia Ke,Laboratory Manager 0 other approved signatory • EMSL melMaNr Madlly WNW to Wn el en yeis. no repel mmos Myo I e samples mudded and mer net berepoojed,except M ba,wood mint)epprmel by EMSL ENS/been ro wy�tion imacaw edmy hltes or utcal method limitations 4wptI 4rwaon end use of len n responsibility en responsibilityones client mtld This report muss rot be used by let dere m p�g ppowl or eonsenanl by NVIM,MST or any agency of the leMret govorrenat AMOlabhe organically bound materials posers a potfen mauls end mental EMSL rcammenda gwt4meto r duool prior to ereytk. Samples reached In good condsW Mess otherwise nosed.Estimated ecaacy,petition end uncertainly date amlatto upon moat Unless rapesmd by ue Wert.Waft mishits mamlaaued Mn mlhpe layers(Ie.Unclean,wetbead,etc.)ere repmad ss a stype soma.Nun bream•<5% Samples analyzed by EMSL AwryOW,Inc San Leandro,CA IIVLAP Lab Cob 1010163,MA M000201.WA C2007 Initial report from 05242012 15:24:10 Test Report PLM-7.18.0 Printed:5242012 3:28:29 PM 2 EMSL Analytical, Inc EMSL Order: 091206432 E_NISL 2235 Palm-owe Ave,Suite 230,San Leandro,CA 94577 Customerle: ECSI85 Phone/Fax (610)895.38761(610)895.3680 CustorrlerPO: )IIIo9NMw cm sl core 9anleardrdabttiemal cern ProjectiD: AWE Ryan Govan Phone: (925)370-2222 Environmental Construction Services,Inc. Fax: (925)370-2282 PO Box 6277 Received: 0523(12 4:00 PM Analysts Date: 5124/2012 Bay Point, CA 94665 Collected: 6/23/2012 Project: 10297 S.DEANZA BLVD.,CUPERTINO,CA 96014 Test Report: Asbestos Analysis of Bulk Materials via EPA 600/R-93/116 and/or EPA 600/M4-62-020 Method(s) using Polarized Light Microscopy Non•Asbostos - Asbostoa Sample Description Appearance % Fibrous % Non-Fibrous % TYPO 10-Acoustic Plaster ROOM 1 While 100% Non-Obrous(other) None Detected Ceiling Non-Fibrous o91206432o1f0 Homogeneous 11-Acoustic Plaster ROOM 1 White 100% Non-fibrous(other) None Detected Ceiling Non-Fibrous 0912064324011 Homogeneous • 12-Acoustic Ceiling ROOM 1 White 100% Non-fibrous(other) None Detected Plaster Non-Fibrous 091204432ao12 Homogeneous Analyst(s) e/ Matthew Batongbacal(19) Bags Ke,Laboratory Manager or other approved signatory EMSL maintains llst0l limited to costa s. Ms repro mlelee rymMtyel only to the samples end use and use ot stmoltsoIre eemecca/Sty a/Sty of tui,he sea without INslreprtt uot EMSL.EMSL Gear ro mspomle,ity for eoesorsample ppooeacornadissesa mothod Or any Intap�ede al ggernmenal MNurelMwcagy Blld erdels This must•prot esoused by ws dentkre SI.daim 4000iandsorV nrtredne,pdol or r to mdtr fl.Samples les rcebe Inane/middel the n urineoowsb nted�ssnle aed aGencrdmeroWemwcutpotlat meepble Owfewest recdnewby 9ravmstkarth,g asses, anutac ed MP rucdlelIn y.00dcortlbm,weso,MMO an re rtt Estimated nawry,pre.None looted 41% available upon repent Unless maenad by 0-e derq Plan mdxrWs meMxOrde MP multiple layer 9e.lindsum,wa0lead,PO are reported u•single sande.Non Oolodae v cl% Sample sneereed by EMSL AnslyteaL Me San Leande%CA 9VLAP Lab Coe.101018-3.MA M003201,WA C2007 Initial report from 05/2412012 16:24:10 Test Report PLM-7.18.0 Printed:5242012 3:28:29 PM THIS IS THE LAST PAGE OF THE REPORT. 3 J]OaNl 0Ci1�0< 3 2-. 4 ENVIRONMENTAL CONSTRUCTION SERVICES, INC. pagoL of 'I � BULK SAMPLE ANALYSIS FORM . 5,,�' V paw; Analysts Requested: d '1L Bulk Analysis l laboratory: EMSL 0 PIH Point Count 400 - moo li Q 0TEM Bulk Analysis Results Requested By: Rush \24 4BHr 72/Ir Other 0 FM lead Paint Analysts . �J t '` (� /� Cf�� {fit ` Job Hams: 1 VZ-1-1 S- `fie. iii 2o. . 2;4 Job Number: • Location: CU Qi7r 1-coo ICA9.501 N Copected By: Ryan Govan tp Sample No, Location/Benoit/Um t 01 DC)?L-C tt &-psj -So,n4 7cv16.Mi 1 A COcJ- I 02 (117watl an.) ,16"' Confoo R. icor, 2. N 03 lititrall o••1 `10.4- Con,e0,,,Jrr o✓-4s•4L C.1tc4- 6. is 011 '1�[yva4 tt a, .\o,n4- rovtttoi L sa.Ac cit.- (Cvh.S. i /t ( 1 OC 'Pl�1(...L( a A -SV,^IC COVV rdwr,2, 1r' (coir, 3_ . d() 'Dry t-.tca.I( o.4 S c`1W4.cy-.f.. Co h'leo'4 ' ^ 620"I rets., tii 61 tityt salt a r 4 0,nA'1+ cicg ft CaPAfeldt A r n (Can 11. a "To,r.kr ror.Povoi o*ly :ti 1-0o1-. r3 7 CPI mak - -c.. tc.. dal Jr Oft 11 IN (d.h, D. 2. I() Accu k-r. Plc-NA-cc L,;:1.fr.ri it foan, i • s it Pcuss ,t- Q�s\c r&;I: cz ih Coo, I . 12 ALotbi-'l'.. Q1cs ce:1 ;- k (coax /. .'f j .r 1 • i Oats: Time: Relinquished Br Company Received By: Company: Date: lime: 5---2 no-1,N ECS C/,_ -e1/15L #3/ (6Y3 s. P.0 Box 5277 Bay Point, CA 94565 (925) 370-2222 Fax (925) 370-2282 4 • I/2 ENVIRONMENTAL CONSTRUCTION SERVICES, INC. June 5, 2012 Statement of Final Clearance Site: 10297 S. De Anza Blvd. Cupertino, CA 95014 Location: Throughout Building. An Industrial Hygiene Asbestos evaluation was performed at the above site on June 5, 2012. The goal was to determine if the removal of walls, ceilings, and flooring finishes performed by Bayview Environmental Services had been completed. A final visual inspection of all accessible areas within the containment was performed.The areas were determined to be free of asbestos debris. Final clearance air samples were collected and analyzed according to the N1OSH 7400 method for asbestos. Results indicated final levels of <0.002 fibers/cc. These results are below the Environmental Protection Agency(EPA)recommended clearance level of 0.01 fibers/cc. Based on the visual and air clearance procedures, the project has been successfully completed. No warranties are given for the asbestos content of any materials including flooring residues not removed. This report is submitted for your documentation and should be kept for a minimum of 30 years from this date. Sincerely, 4-% IttYtAAAtN. Ryan Govan CAC #92-0375 P.O.Box 5277.Bay Point,California 94565.Tel(925)370-2222.Fax(925)370.2282 LgiggENVIRONMENTAL CONSTRUCTION SERVICES, INC. AIRBORNE FIBER ANALYSIS (NIOSH 7400 METHOD"A"COUNTING RULES) CLIENT: Bayview Environmental Services ANALYST: Ryan Govan 6925 San Leandro Street Oakland,CA. 94621 ECS JOB NO: 123329 CLIENT NO: 540 REPORT NO: 09893 I SITE: 10297 S. Oe Anza Blvd. Cupertino,CA 95014 DATE RECEIVED: 6/5/2012 DATE ANALYZED: 6/5/2012 IAB ID SAMPLE LOCATION SAMPLE TOTAL FLOW SAMPLE FIBER NO.OF LOD FIBERS/CC INO. NO: TYPE TIME RATE VOLUME COUNT FIELDS 09319 060512-01 Inside Removal Containment. Clearance 115 12 1380 <5 100 0.002 <0.002 09320 060512-02 Inside Removal Containment. Clearance 115 12 1380 <5 100 0.002 <0.002 ANALYST ) X17 '"- CAC#92.0375 P.O. Box 5277.Bay Point,California 94565.Tel(925)370-2222.Fax(925)370.2282 • • Davis Street Tran:Fer S:at on ilrini`?1 _ 2615 Davis Streelco deg rden isnter.;_�]F !.cke :'i: 2] 6i_._? ' an Leandro, CA, 41:7 Ph: 31.@--631.1.%Z@? • Customer Name DemoMastersli_ D;@'me Diasters, ? Car.?-i._ S. Public Cu F'':oner Ticket Date 01/2E/2012 • Vehicles: 7j311.'060 Payment Type Credit Account Con;::•,ime Manual Ticket# ;:;.,:.,e; .-\--. \1"P l2c)S Route Check:t Biliinglt 0015718 <A-D.0e . Destination %I.4 , P?tE #11.,,s04 � 9, �� 0.• -,PO# if Time U4 0, ( I ot< r In; ,rnd 121)".":1; '.6r�';::; '. In 01/26/20 i2 al .+ t i1 iC PI $i' Jr, R .r ¢¢�yy Out 01/2.6/'20 c ll • rr i �+ 0444:*, .nr R # i l L' ` . 114 114 Comments /41 ii4 '' AO yi r 4'§ g1, ` • o ill 44 ?sr ,,? 4, . Jt,Ay�a�yS'yF.', �yIgi t? , $�,.,,RC; Product itila j,I dal, A ', i:.. � f; i�'' 1 MST-30''Rer'use-Tonnage tO ':oc (Ml2 TOM. la:-.I.3 Gli. . 'kian6 2 FUEL-Fuel L-.urcharge - Jr 100 )= 15.95 f'7.7_.30 f_:!ii3+.nc • 3 EVF-L-Standard Environme 100 1 Load , 14.00 414. 00 Or-P./and L d '' '.Cf TUPI/ill TARP YOUR LOAD!L'1.TS THE LAW! ,..CVC 23115a)We Ee1.1 'T,:;d psi Total Ticket Rmt +c',° r Driver's Signature • ' „,.it World Environmental&Energy, Inc. P.O.:Box Box 256 West Sacramento, CA 95691 916-371-3617 Ph Invoice • 916-371-5957 Fax En ALE Invoice#: 00032049 Date: 6/112012 Ship Via: MD 1 'age: 1 1.1v Bill To: Ship To: Bayview Environmental Services 10297 DE ANZA BLVD l Zp� Accounts Payable CUPERTINO,CA 6925 San Leandro Street 6-/w/q -,2-Oakland,CA 94621 I y -f Z Description Amount Tx TRANSPORTATION AND DISPOSAL OF NON-HAZARDOUS ASBESTOS TO ALTAMONT LANDFILL LIVERMORE,CA 6-4-12 RATE$ 1,200.00/BIN @ 1 BIN(WT#962292 MANIFEST#0003291) $1,200.00 10%ENVIRONMENTAL FEE(ALTAMONT DISPOSAL) $120.00 7.5% REVOLVING FEE(ALTAMONT DISPOSAL) $99.00 etto :;'� li2me A finance charge of 1.5%per month(18%annually)will be charged on Freight: ;i $0.00 all past due accounts. Collection expenses or attorneys fees will be added If an agency or an attorney is utilized for collection.We Sales Tax: $0.00 appreciate your business. Total Amount: $1,419.00 Your Order#: 12051 Amount Applied: $0.00 Shipping Date: Balance Due: $1,419.00 Terms: Net 60 , :. v SERVICE ORDER World Environmental & Energy, Inc. P.O. Box 256•3208 West Capitol Ave.,West Sacramento,CA 95691 38 89 8 (800)428-5232•(916)371-3612,;Fax(916)371-5957 ORDER OATE/fIME: CUSTOMER:/.1 AY I/ 1,t ` • -p%ONE#: •i/ , .OCERe[LACED D Y. SERVICE DATER'IME: '2:00 JOB NAME dILJ IV/l// GENERATOOOR:iVI pOr ., y—1 2. {n r SERVICE ADDRESS' MAP PAGE ADDRESS: •• 2 /024 OL la azgi vd ' .'; CITY,ST ZIP ODE: A CIT?,STATE,ZIP CODE: +IsUO Ce5t SITE CONTACT: SITE PHONE#: GEN.CONTACT: GEN.CONT.PHONE#: SITE PAGER# JOB# P.O.# E.P.A.I.D. II B.O.E.# I214y ADDITIONAL SITE INFORMATION: • Cube Van O Roll Semi O SERVICES REQUESTED: e/� _ 99 . g� .BIN# ;'t;' SIZE BIN# SIZE DEL PlU 5—IL val/� MANIFESTED BY: DISPOSAL BILLED TO: PROFILE# + (FESTQTY. MANIFEST# QTY. WEE O CUSTOMER 0 tiI.I 32,71 ,. ,:W I PLACARDS# 0 YES LABELS 0 YES BIN LINERS O YES TSD AMASTF TYPE TSDFIWASTE TYPE 0 NO CI NO REQUIRED ONO T — ,Y AL Additional Load Ticket: TSDF CONTAINER INSPECTION YOU MUST WEAR YOUR RESPIRATOR ANYTIME YOU HAVE TO GO INSIDE OF THE BOX TO CLEAN IT OR LINE RI Additional Load Ticket: TSDF DEC. / Pills BIN NUMBERS: 4) 4. St.i6 iti DRIVERS NAME:j VAI1�E-A/ next e Do all doom,lids and binders k props 4-4-4 UNIT#//) /,,I TRAILER/t ill /T'I Is the Inside of the container dean and free of holes? el Is there graffiti on the container? o SERVICES PERFORMED: Are theme-16M stickers on all four sides? c Document all stand-by times W +4- Total Stand By Hours: Start Leave Job Site Job Site Disposal Disposal Yard Stop Break TOTAL Time: Ye Arrival: Depart: Arrival: Depart Arrival: Time: Time: HOURS: I0.3D AM IraO AM !L••I..f AAMM� )ar AM AM AM !eo AM 3'OO AM Z:o o AM PM PM IPM 1 PM PM PM ��I,. O M DAY DATE�_�-',L DRIVERS§ME J e, UNIT# _ I TRAI a•. _ TOTAL i/,AM CJ (i /��/�/• 7 L_ HOURS: — I� • AM IZ I J AM AM 1.'7 J AM i •3,t A... 3 . " 7' Vr AM 3.14rAm GUSTOi �,I P PM PM PM '..o 9'xr MJ —a r •— WHITE-OFFICE/GREEN CONTRACTOR/CANARY-BILLING/PINK-CUSTOMER/GOLD-DISPATCH iftEZ WASTE IVIAI41ALIEMEAR 1 - ar!•lr.TrE h:, -.n'rc i.ondrtII F. PST* Original ).)":111',,r i�tan;nnt Past Pend Taeket0 S7 92 L t•elsrre, CA, .."1551- Ph: <•155tPh: i?rr'1455- Clic Lomev Barge War trrnv:ro'1c' lint Id tin/cr)ni:je • ti ltr Cal AIr.3!nnt_ t7enerlc T1c,tet Dore .451050.47:' Vch!cles 091c; 1'.'l/merit Type CreW.11 t 't c.:.;urtr Cr:ntlli rot Handal Tlcketn Rs111rt4 ax 4,7'3E..41'm 1.ceitcett Ban fest OOciJr..I PO Prof tit' iS05(35F tl.on rr!al-I^ F. h'-• .oS-Jc•rict Fnv1r']rrasr.t.1f. 7:, Ener.)y ois 55'3 &mor&1 iJ' If.4-Vox intl.: 'oit7, 1,0c-i- Ir.ri` Tit: r •, I: r1ATJ.4*i 1lieiq„inasrnr inN)ui*ra Orc.SB 1t•:tilit 05E10trt 06/0%,•2:41, Al:;P: :• tz, ; 1 ' r '. T er Tare 14500 lb w1tG„i%05/'012 14:25:34 Hca : •:-cs! !'�r+ *alBet: 04.9,0 lb , Corrotrnt, c1951Ai Terns 5 m : A�3y�'d�ps Product s' :M t'G'i Race fav Am:unt Oslg,tt 1 Asb Non rr:-Cubic '04,) Ygr'ir - - - -- _ Curert 2 FUEL-Fuel 3urrhar.� ;Ct Cpn- i :r. 3 EVF-L St'1rdarct EYr; 1 A Ln9;. ar[ CC 1 h3 DRIVER: TuoN r P . i WEIGHMASTER CERTIFICATE Tot a! Ticket THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with sec- tion 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. 404WMCA 1•f 11,! : - 7 4. o . ..m t✓ Co 9/d/''/n I C r an %�%�� 071 NON-HAZARDOUS 1.Generator ID Number 2.Pepe 1 of a Emergency Response Rare 4.waste Trading Ntmnboj--_ _ ..� S. WASTE embr a Wg Aswan - , (sl) SG't - 6181 ..� _ •-1:3291 . .. • Generator's 60e Mamas(d ddeam thanmailing address) Robert Adeno 14180IkanopanDr 10297 S Da Anza Mt Snug CA 95070 I Cupeabne CA 11'i4 Generators ir13 met ..'r r 7. B.Tmn nar 1 Conpany Nana U.&EPA ID Nutt Vit ici EPA'filfefirtiett:p C reval3 I r d. 4 n n r r 2 - ) : t: 7.Transporter 2 Carr Name U.&EPA ID Number • B.Designated Facility Name and Ste Actress I US.EPA ID Number Aitarnont 1 ofuNii '10840 Altamont Fane Row Lliemnre CA 84551 Focal phone: 1:'5.1 448.0348 I C I. D 9'8 1 3 8 2 7 's 8.Waste Waring Name and Desolation10.Containers 11.Teal 12 Ude . .7 .�. No. Type Omni* WINM x inilr sAsbeaas e . . ..1 3 0 . -M y b a a 3. . {w • • 13. eF aM Irctma and Addtbral — it r;%aye a, a^s . -rev tvivtall aM Wad:traitir. UPa ayprona o fetal/story amedan. Jobe 12054 . • It GENERATOfr'SOFFEROR1 CERTIFICATION:I herby dedam that the contents al this consignment are frig aridhccvraely described above by the papa static name,and ere classified,packaged, marked and labele6'ptraiSd,and am in al respects In proper ea rdahn M transport accede*to applicable kmmatbnal end national governmental rapdatlera. 1 /Gants cts/Ogenda Nam 1 tfr /.kGV' �T /l/ _' tet, Month Day ; i/�i7 Ai' C.1*.l✓r ►T'}-1 Z."'�2.- /I r'y�i il: ell/ ((/ ;z , Imenutdad Shipments Impact to US. Ecol Imm U.S. Port d entry/at . — Transporter Signahaa(for agora any):' Dat louring U.S.: rS TS its mad Reoepl of Malaab,r m • Mat Ow �2 TUPN Cot(o S 12 idol rda KC 1 WO I I „u4N C iota( " • (' 16 IV I Year 1'TarapoMr 2 Printed/Typed Nam spmbee '. Norah Day Yeas • 17.Waeperay r,� I I I I 4 17a geaepacy Inclusion Spew 0 b 0 Type 0 Readue ❑Pedal Ransil 0 Fad Rejection .'.,� Manifest Referace Numbs a 170.Hamate Fealty(asGrme a7 \,\'�\\ U.S.EPA ID Rumba ` FSiilft Plowl\\ , 170.Signature of Attdnate Fealty(or Gemmas)) i Math Day Year - I I I �— 1 . . q&aacl� 1 1&Spaded Finley Owner af].O&dttwb ofrew'ptd by manliest rapt asread 17a � 841 �- alit, -", t ,4-7C..........,... I 1��/"s I3 (y,_ 189-BLOO 8 10498(Rev.9I09) �' TRANSPORTER#1 r World Environmental&Energy, Inc. P.O. Box 256 West Sacramento,CA 95691 918-371-3617 Ph 918-371-5957 Fax Invoice Invoice#: 00032049 Date: 6111/2012 Ship Via: MD Page: 1 Bill To: Ship To: Bayview Environmental Services 10297 DE ANZA BLVD Accounts Payable CUPERTINO,CA 6925 San Leandro Street Oakland, CA 94621 Description Amount Tx TRANSPORTATION AND DISPOSAL OF NON-HAZARDOUS ASBESTOS TO ALTAMONT LANDFILL LIVERMORE,CA 6-4-12 RATE$ 1,200.00/BIN @ 1 BIN(WT#962292 MANIFEST#0003291) $1,200.00 10%ENVIRONMENTAL FEE(ALTAMONT DISPOSAL) $120.00 7.5%REVOLVING FEE(ALTAMONT DISPOSAL) $99.00 • ]my ell w v,f�'.'t-r,R, a1 'y� 't^ i5 5' A finance charge of 1.5%per month(18%annually)will be charged on Freight: .•&Z.' $0.00 all past due accounts.Collection expenses or attorney's fees will be Sales Tax: $0.00 added If an agency or an attorney is utilized for collection.We appreciate your business. Total Amount: $1,419.00 Your Order#: 12051 Amount Applied: $0.00 Shipping Date: Balance Due: $1,419.00 Terms: Net 60 3- k4 i SERVICE Of" DER World Environmental & Energy, Inc. •'• • 38898 P.O. Box 256.3208 West Capitol Ave.,West Sacramento,CA 95091 (800)428-5232•(916)371-3617,;Fax(916)371-5957 ORDER OATFJTIME: CUSTOMER:/14Y I/L ` • 6761E#� e/ 3 _'Oce i g so BY: SERVICE DATE/TIME: /2:400 JOB NAME QI(J W GENERATOR: p0, SERVICE ADDRESS' MAP PAGE ADDRESS: . inn Qtr A, z Rival CITY,STAB,ZIP�ODE:�' o C� CITY,STATE,ZIP CODE: .:r SITE CONTACT: SITE PHONE#: GEN.CONTACT: GEN.CONT.PHONE M. • SITE PAGER it JOB# P.O.# E.P.A.I.D. # B.O.E.# I219y ADDITIONAL SITE INFORMATION: Cube Ven Cl RadO(1 Semi O SERVICES REQUESTED: ()A90—grit- .,-.. ;BIN#-- : :: SIZE BIN# SIZE DEL // iribt MANIFESTED BY: DISPOSAL BILLED TO: PROFILE-# IFEST QTY. MANIFEST# QTY. WEE O CUSTOMER O /T'/J9S .11 :. .30./ PLACARDS# Cl YES LABELS Cl YES BIN LINERS Cl YES 111(1:Y/WASTE 1,ATYPE / TSDF/WASTE TYPE Cl NO Cl NO REQUIRED Cl NO N— f9f 7 ��. Additional Load Ticket: TSDF CONTAINER INSPECTION YOU MUST WEAR YOUR RESPIRATOR ANYTIME YOU HAVE TO GO INSIDE OF THE BOX TO CLEAN IT OR LINE RI Additional Load Ticket: TSDF DEL's / P/U's BIN NUMBERS::..e and l +' g''/6 DRIVERS NAME: "P- I�/t" G+t� T� w-(gl�k ` _� `/V'L/✓ Do all doors,lids and hinders wort,property'N r-E- I ' UNIT#0.) /IA" TRAILER- 7 I # Ls the inside of the container clean and hoe of holes? el Is there graffiti on the container? o SERVICES PERFORMED: Are there.Cix seekers on all tae sides? C Document all stand-by times tit }n Total Stand By Hours: Start Leave Job Site Job Site Disposal Disposal Yard Stop Break TOTAL Time: Ye n �"Arrival: Depart: Arrival: Depart: Arrival: Time: Time: HOURS: /O.3a&11PC0 AM Wi f AM (a•ycAM AM AM ;©'O AM '1;OOAM .: • • AM PM PM (2) a J PM PM Ca Cr.' c DAY 2 DATE' _ _'Z DRIVERS •r'ME: # t /•/ UNIT# — I TRAI Sr TOTAL (� HOURS: _ �•.A�Ms�, - AM '.A S- AM . AAM , 'SAM t 7J z /Jti/. — PM Alin es a 4 I •?ss GUSTO' - SIGNAT s-+ 0 f`w•� S IF r WHITE-OFFICE/GREEN-CONTRACTOR/CANARY-BILLING I PINK•CUSTOMER/GOLD-DISPATCH • nEZt W where IMUMAmnswr ,j` Lilt'•-tt:TER• it.t :inn' ,.Fuldtt11 4 R9F rt1 lr:al tanHnt Pas=: Fold T,ckatfl ,n?,02 r,-Vet t^.rre, CA. :-,A°'.1 the ,. .3:E)455-77.43'4 !NStx/ter Nalnn t'orlriihv,rn':;r ;thrid. etivlrgnlas .:acrl_r C-Ja A1twnnt Gemr!c Ttc,tet Hare 1116/059',,1: Jet11-1,`,0 to?pup Payment Type Credit ri' r 11.I11t Centa"ner ifannal Tlrice tii R, t l in:i It en3c,41 t1 Licellct:i Ilanittar C1EC)3:'=J Fv Pritl It Ss35r15&. tihin Frt:hlr• i, 7`••-.rc,5-::,,r1rl Cn ir'irt`it-; t.1i F. Enprgv 3n - acietu 550 [�ie2Y8t•..1 r44- Ver,nttr 14,:'011F 7Ssr: • .rn' Tin , a>;, •, ,'.7.21-z':134t?r Intsiunl C7rcen 24=,00 11.. In OS/05;2,31^ 13:3f::.S :t..,. . .! : n._.�•-ii!ET . c.ut4+r CA5/'1ot? Li:25:3Q S Teta 13573 It bar " -VI 'y Net 1097317- 50VdS Tons 5 4!? m .• coo 3 1 Product Jr qty 1!C`II Rate Tar Ani unt Orly,i, 1 As!, Non Fri-02)1 're 3^ „^ Yarnr oper 2 FUEL--Fuel Sut.:lral n LCr cup- tiier nr Ce t 0.7-1. ''O trio i E.F- Standard i�^ 1 Lna:i C'jonr Ino . �/ DRIVER: �JO/V r /l r WEIGHMASTER CERTIFICATE total Ticket THIS IS TO CERTIFY that the following described commodity was weighed, measured or counted by a welghmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with sec- tion 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. 404WMCA r� fIV, " i— r6 . O ' � -4oe•' V 09/7•/ 0 •••.% t i :re 0 0 .,._.a_ , NON.HAzAR0W6 1.Generator ID Number 2.Pape I of 3.Emegawy Rotor=Rare 4Waste TmtMp Nwibi� /� &o Generates ming Address D • 1_ (stem) SGz - /MI _�;..r,.011!3281I . .. araiatofr'e Site Addison(d differentthan maim address) RobeT(A9wto 14180 Ikanopantit 10207 S Do Anza Blvd Sn �73 r-A 45070 Cuperanc CA 0514 Generator's Phone: •.,;m0 •y4,Q..-.. r t 1 6.Transporter 1 Company dame U.&EPA ID Number W0714i rrlairWalt tent:11 C.rub•)fi 1 u r n n r. r 1 - -, ; s: 7.Transporter 2 Company Name U.&EPA ID Number &Des gimlyed Fad Name end Sie Address I US.EPA ID Nueber Atiitandlllt t antifi4 10840 Altamont Palms Road literrnare CA 04551 FIwe Phone: 9 5 440 IMO aI C i. D S`•?! 1 3 9 'z 7 3 D.Waste Shipping Nemo end Dosalpdon 10.foreshore 11.Total 12 Ura . ,•. ;�. No. Tope menWy MAIM 141(11- e9-Asbeaos 0 f CM . f z • 0 3. - t. ' • 9 Ia Sesdat N1manaImMrCm ioand AddtlmW Ipdonnapon ..T,TI.r.4.5 a,-DDrs SrT1ir v tvittan and blat mastic Ura zgoronate re airanny aroma/Dn. Jobs 12057 14.GENERATOR•&IDFFEROR'S CERTIFICATION:I hereby declare that the oontenb ol dde oortsIgnmeo are bey anidb:ontely dexdaed above by Um proper name.and am chaste&peclmged, - marled and bbeled+pbmtded,and aro M al respects N proper omdebn be transport=rap M app&ad'a bdamabna and moron pammnmrrMS rePdadMrb. GQr6'rptoldORaofe Nate �' - vr# 1.IG� C6`s1r`• .� � Meeh Day Year /,•%.1,-ii l• z: �e:X'41 � 1)-1 t- 1 711 'L: .1 -�r��;�/ rs .,1 16 I V I /1 Lt 1&Mbma el Shpnpnb Import to US. [11.11 Export MOM U.S. • Pon dabyladt .. — Transporter%neaaee Ila Mods omy):' Data Imam U.S.: , M.Transpoiter Adaadetlpmem of Receipt of Maazbh TmnvpMa 1 Prb'edrfyped Name `�, �m f/ Tsar r'8 TOON CO210S 12JJc+irla Its I NC4 't- 1 JOASVC &a( a'. / ' 16 Iv in 5 �Tmmporter 2 Rhdedrfyped Nang SOmaae '• Month Day Year F7 I I I I 417.Discrepancy •••••,.....•••••,.....17e.Dieaepenry Indiana Spaza 0 WwdH 0 Type 0 ReskS 0 Partial Reecta 0 Fid Rejalim '''� Mamlest Reference Number: g 17b.Mama Falk(or Generate) `�� • ` \\ .•� � � US.EPAN Numbs Fad*Phone: - 1 \ � L 17c.Siprmaro of Mannan Fay(or Generator) Mai Day Year ic i I I I I_ R(a029n7 1S_D Friday Oster a Oper_Mc; ,at receipt ofra -• - . ...by 17e 4 ie L• • A m�. ,G�" it a_.. ii 169-BLC-O 6 10498 -ev.9109) • TRANSPORTER 87 Please print or type.(Form designed for use on elite(12-pitch)typewriter.) Fonn Approved.OMB No.205 a UNIFORM HAZARDOUS 1.Generator ID Number x 2.Page 1 of 3.Emergency Response Phone 4.Manifest Tracking Number WASTE MANIFEST C A C 0 0 2-6 9 5 5 8 8 1 6105828181 009214643 JJK 5.Generator's Name and Mailing Address Generators Silo Address(If different than mailing address) Hobert Allarto 14169Ikanopan.Dr 1029735���rAF A g1vC/ O Saratoga CA 05070 Cupertino CA't &air 95o14 I20 f Generator's Phone: ... {` 6.Transporter 1 Company Name U.S.EPA ID Number Bayview Erwironmental Service Jima.] I LE 1 I C A L 0 0 0 2 0 8 8 5 4 7.Transporter 2 Company Name 6-iii- )-z- U.S.EPA ID Number I B.Designated osbyadliOverName n Site Address U.S.EPA ID Number Crosby&Overton 1830 W. 17th Street Long Beach CA 00813 Facliptys Plane: 662 432-5445 I CAD 0 2 8 4 0 9 0 1 9 gra 9b.U.S.DOT Description(including Proper Shipping Name, arardClass,16Number, 10.Containers 11.Total 12,Unit HM and Packing Group Of any)) No. Type Quantity W Wol. 13.Waste Codes 1.Non-RCRA Hazardous Waste Solid /[�sk 352 o X of (N1tegO P •• Z 2. w o 3. II 4. 14.Special Ha18Ano1 rJideMInstructions bsopeteuv (72 Profile#32503 ERG#128 81/JOB#12051 15. GENERATOR'SIOFFEROR'S CERTIFICATION: I hereby declare that the contents of this consignment are fully and accurately described above by the proper shipping name,and are rtasdfied,packaged, marked and labeled/placarded,and are in all respects in proper condition for transport according to applicable international and national governmental regulations.If export shipment and I am the Primary - Exporter,I certify that the contents of this consignment conform to the terms of the attached EPAAcknovdedgment of Consent. I certify that the waste minimization statement identified in 40 CFR 262.27(a)(if I am a large quantity generator)or(b)(if I am a small quantity generator)is true. Generators/Offerors Printed/Typed Name ___, Month Day Year NIDtAe_ i_1 r)+�i)L :CP1? (►..lova I ) .�L :-/ ;� '.&/ ':e i 14 1 '3112- 16.International Shipments Z ❑Import to U.S. ❑Export from U.S. Port of entry/exit Transporter signature(for exports only): Date leaving U.S.: CC 17.Transporter AdmovAedgment of Receipt of Materials -- - Iii Transpoder 1 Printed/Typed Nameme- Signature- Month Day Year Cr 0-0 /l/Lliq/le( .q/4 et 4)4 I y,-,,eyuc 4le Ar I f 1/% 14' a Transporter 2 Printedftyped Name Signature Month Day Year cc I- 1" I I I 18.Discrepancy 18e.Discrepancy Indication Space ❑ Quantity ❑Type ❑Residue0 PaNal Refection 0 Full Rejection > Manifest Reference Number. C 18h.Alternate Facility(or Generator) U.S.EPA ID Number _1 5 rat Faclitys Phone: 4 1 w 18c.Signature ofPltamate Facility(or Generator) v Month Day Year a - Z I I FL 19.Hazardous Waste Report Management Method Codes(i.e..codes for hazardous waste veaunent,disposal,and recycling systems) 0 1. 2. 3. 4. t 20.Designated Fealty Owner or Operator.Certification of receipt of hazardous materials covered by the manifest except as noted in Item 18a I Printed/Typed NameSignatureMonro Day Year I I I I EPA Form 8700-22(Rev.3-05) Previous editions are obsolete. GENERATOR'S INITIAL COPY