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NOV.20.2015 14:32 209-234-3310 CalShosts LLC #0852 P.012 /027 <br /> l lw wMTt ROCK ROAD Due Of Evtata 15t";- '20 <br /> . RANW CORDOVA,CA 95142 � Timm . <br /> (91b)351.09$0 <br /> �gryt>♦da11(g1arALfltNa:Be i'tttea Panidpeted: <br /> atab•aeaMa <br /> CONDITIONALLY EXEMPT SMALL QUANnTY GENERA'T'OR WASTE IVED <br /> CRECX-IN RECEIPT AND CERTIFICATION STATEMENT NOV 2 0 2015 <br /> TO BECONIPL DBYGENERATOR: y- i AR MENTAL <br /> HFAITH ncD4DTtACAIT <br /> I etnify that the following defamation is cotte=r,and 1 have readand undottaed the regoireattAU for p01ORMtm to dw PMUP <br /> Trertspombw and Remaatioo hra Candidtnrplly F_s Seta11 QwT 7 Cmeraw waste Aecepnn0e I'MRmm: I fwtber beatify that l <br /> tan a Con&timolly EAeapt Small Qwmiiy oce'eataa m t d*W*Pedemi tad Califlemia 9tau regvlollats,wd retie 4alw6ty of Ment <br /> des I&eacead the apaeifred BMW for the We of waste beittg disposed. If this scene is later fowad to acew smell gm"ty liasita or <br /> cmNln materials tataecepted oda tiva pragM3%1 Mme te complete i Iuaardoua want manifest and Comply Mith(Aw start regnls ou <br /> as appropriate. <br /> COMPANY NAM. COMPANY RIP: <br /> COMPANY ADVAnS: PPA iDS: <br /> PC <br /> CYs STATE,ZIP. lr) E^A q5206 -sICNAna. I A f, . <br /> COACPRNYlRO[iE: f' / ' aj i..`oL�G TITLE: (9 t k7'Ez J�. l� �.tz. _ <br /> TO BE COMPLETED BY PAILIP TIKANSPORTATION k MWEDI,A-ffON CRECK-IN ATTENDANT <br /> M �)�Gpg47 NA7A1tD A8 9TAn V IN 11 N n vrrtt� MSP. ow <br /> QENftAl,�\ UN <br /> q3I 4&7c <br /> t" 120-11 <br /> 0FI y " .Z <br /> METHOD OFPAYME.NT. CASH 0 CHECK CI CHECK NO. ALPAIDS- %.SO , 3S- <br /> PHILIP TRANS tk REMM CBECK.TN ATTENDANTS 1NInALS <br /> rscam ssve�rti CNHCR-INPJXEW <br /> C. L Alm--elm C¢cP�FJJ <br /> 31vuv <br /> Credit Carel Ending In <br />