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!1X55+YF3! ?'ii(`,CY:Rfl:e) March 2.2016 <br /> ?eE8 Sterscyt.e' R hCt1O C ux)ti:+:;.a ',9U2 %!m�: 12:O0pm <br /> ' :uncs Pa;tic:�.wtsd: <br /> C'ONDLTIONALU 1<:f:gM x SMAI I QUAN ?T�'.sl!?E?��T����ASTE <br /> CIfEC.IN nc in AJ19D CETLTTFECA71CsA:Na ITNEMENT <br /> TO BY (.(MAPLETED 8'1 GVNERIATOR-, <br /> T cxttify that the fol!nYYif,g tn.an+±wim is cored,and i!:ave raad and undem,:a,d-&-requtfmmLt partle!POT!Qt (he <br /> 3ie:icycle C,onditi!xialR;F.xem-.(Stnxl?uus;:tity�ere_'atcr 9das::��xactanec Asea.^... :`xchzrectify that; r,a Coeditionally Rxi<wi <br /> 5msti Qttentity(Immato;as de5ned by Fedatat and Cal+.fomia State regulation,,and this cnantity of waste does not excccd the simiftod <br /> lim-mN fir die type of waste being disposed. if this waste is latex ftle to sxcaed small gJantity limits nr*mala Mve;7315 ant accev.-d <br /> underthis pmWmn,1 agrae to eomptem a ha+ au vrtrx manifest arra canp!y a;!fi other state regulations as appnprim- <br /> doom -Ny\mm: George's Mini Mart t;.WPAF.: a-.i. Bikram Sodhi <br /> doMlANYA.DDRESS: 18662 N. Hwy 88 EPA ID* CAL 000287525 <br /> OL TY,star&.,zrP: Lockeford, CA 95237 ;ICNA' VPL � <br /> COMPANY PAONF; (209 ) 814-0300 TITLE: M Dart:: <br /> _.. To BF, CONIP1,F ED BY s TERICYclJE (,IW .K-1NN 91-1 VNa)AINT r <br /> t <br /> .i-t71?f<fiitAI.WASTP.[SI CRFUTa)t: T iw4LA..s T A11 1 y UP. S. piiz ::Ca<3VTt7Z F. i SV6:I <br /> (Q!lEA'j1C4.COt:57i�:yr?,i.Ph. biC: j .i aSti � 1.Vn;+Pc i. C{±pe 4 . I ,st+? ' .i'P=•v"1.- I /.4f".: Vi i i <br /> Absorbent w/Diesel ' 9 I I 2 <br /> i 5gai 15 19.501 <br /> I i ! <br /> tPirocessing Fee r ; 20- <br /> Vic <br /> R O <br /> I�AQ I ` <br /> � <br /> EE 216 i <br /> VVIR i OI y1 <br /> Tq� ; <br /> r <br /> t j ; <br /> • t i i � j <br /> s <br /> e i 3 i 1 <br /> "ET1109OFPAYIMTNT ('Asm w CINL•i"r cHkCKVC { <br /> #TERICYCEI.C.'r1Cic-E *iii.Ai;i.4 ?'SiNinAIS <br /> 800/ B00'd 9LBL# 689MUOZ tz:zl 910Z/LO/E0 <br />