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RECEIVED <br /> CUSTODY RECIEPT "N 0 6 20 114 <br /> ENVIRONMENTAL <br /> HEALTH DEPAflTMENT <br /> Truck No. /License cct48/mw3 Date: 4/24/2014 <br /> Customer: Yara North America, Inc. Customer PO#: Verbal Buck <br /> Origin: Stockton, CA <br /> Destination: R.S.I. Proper disposal Manteca, CA <br /> Product:Nitrogen fertilizir wash down water 3%N <br /> Weight or Gallons: Approximately Z?1V gallons <br /> Container Description: Tanker Number of Containers: 1 <br /> Signature of Driver <br /> Signature of Authorized Customer Representative <br /> opv'y . <br /> This load From facility <br /> 601 Ot. Jul RZ. JuJ�&, & 95380 <br /> 209-988-6691 &A 209-785-5268 `eJaz <br />