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til:. "''_i 1931 11:5: bll 393(1;11 LUTPEL TP.I_blh IIP; F'A,;E 1 <br /> Dae.d 6ldp+ean4 x' RcipeLlOu f«n�.ne aer Thr<1c r. Fi. S► C. Tpflt .. lead. <br /> liene<ahr'r Name rad Billing Adders tierae,artx'r Phew. { t:.. 'rer+<nmr'r LIS FPA MNo. <br /> f <br /> Arco Pr4lots Co. �{a <br /> P. O. Box 15077 . 'ffPP` : ocwua <br /> L. +t <br /> PAX♦.'. ' c.s ee r Account Nonan.+ah TP.: <br /> Buena Park,' CA 90622USA <br /> CaruJuvtt'.Name vd Bilting C n Wtanrr Moo,&. <br /> t. <br /> Seoor <br /> nowt b ..,race <br /> 1223 Pear Avenu* <br /> Rnh&rt Potter <br /> PAX#: CuMomer Accuivrt Number-ith Tlti <br /> Mountain View, CA 0 000 A <br /> Gaxranen Sice?raaupurt from): (aaanr 6aLlrerl Site Phos<a: BTFX <br /> L<+da <br /> ARCO ♦04493 Trr+ <br /> > 205 Horth Center Street <br /> t.rrd- <br /> Dnip.ted P.dttty(liwport M): (n,oW 6 ddnurd < F.ellity Pemail Numtaen <br /> TPS TECHNOLOGIES INC. we mama. 116 <br /> e 20 Recycling Lane <br /> FA%r: <br /> ramponer Name A ai nb Address Trirapnrter's Phune a Tran. r e C4 cPq IU N. <br /> Dillard Environmental <br /> Pcraam o ontac 6 a 5 0 T.marr,rt<r aLy''T.`:o. <br /> P. O. Box 979 <br /> Cmit NanDu wet.T(S. <br /> Byron. CA 94 14 lIqA (925) A114-05ACI t 01027,kA <br /> Description of Soil 4olsture Content Contaminated by: App(os.Oty: Descrlptlon of Delivery Groes W elght Tars Wright Mel Welght <br /> Sand o <Ta.Nc O 0-10% O Gee O " <br /> Cl.r Caxr V <br /> 10-20% O Ptcwj O 1 T� <br /> 20% over❑ Other •O ^ <br /> Sand J a�(pna� 0-llrr. O t.q O i ) <br /> CLy o cyte, O 10-IOt O Mosel ❑ <br /> 101-over O Orb+r ❑ / <br /> L.r any e..ePam m dame taxa cbee<: / <br /> ___ . e <br /> Generator s and/or consuliant's certification: IlWe certify that the soil referenced herein is token urtirel y from t •eniL described to the tiod Data <br /> Sheet completed and cerlified by nie/us fur the Generation Site shnuM aMrrc and nothing his freer,added or done to such suit that fmuld alter it in <br /> any lacy <br /> rrni na T•Pe Name. Ceanah. a C.vWa ' r] ' gp..we and Jal<: Mw•N na. 1+• <br /> Trang,nrrer.., rerttficotion IlWe acknaudedge receipt of(he sol[de.<cr&d.abooe and ce,ttfy that such soil i being dehoared in etacfly the name <br /> condition as udmn m. *end. IlWe furlher certify that this soli is bring directly transported from the Generation Site to the Designated Faahry <br /> 8 udthour off-loading adding to,subtracting from or in any uay delay g fclft �such site. <br /> F*'ar T'P.Nm ,< M np <br /> � l t <br /> �pptt <br /> Recycling Frcnity,at}rf=,the receipt of the ioli by this manifest ricwt as ndied abmr: <br /> PrY.t ar rypr N•.w- Slpuhrt a4ie / lA <br /> i5 99 <br /> .,: r,•. _ - • cr TRAHSPolglt COPY _ <br /> r <br />