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12/12/03 FRI 07:52 FAX 66139] "498 CHEVRON PIPE LINE KPNRVR 0011 <br /> \/ J <br /> TT01A [C999 ON %2i/R1I TO:Z1 At 90/TT/9T <br /> NON - HAZARDOUS . WASTE MANIFEST <br /> PROFIIiE NO. <br /> 1-300-453-3036 <br /> D BAKERSFIELD D YOLO ❑ PHOENIX <br /> NOE:TThis form to be in iieu of the Toxic Substance Controls hazardous <br /> waste manifest.To be used for NON-HAZARDOUS WASTES only. <br /> rV rr----- r+-,/-err r--r V rrr'ti�N• Iv���/rr rr--JJrN r N r r- --,...- <br /> Name : <br /> I= <br /> 0 Mailing Address : /�'/t fJ l tl r�AyC 'ncp <br /> a <br /> 2 <br /> W City/State/Zip : f�iEKF 6rii �'� <br /> Z <br /> Uj <br /> PhoneiNo 4A/ -4-q1 - _5',5a Contact : TAt 7A.10E-e <br /> miSignature: X �,'`.ij., ' .�i:-�zo.i i�_� Date: <br /> N THE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> Lu <br /> a <br /> Waste-Description : f�!�i1�n�-A��n� �ia � -u��, :✓/�Z�-3. 5 <br /> TF?i+a y <br /> 0 Generating Location: -/�� .car;�A.,�.o� A'1,Z• Pya�'1;r_:,,r_. —, <br /> w 1/nN c <br /> m Handling Instructions <br /> Quantity: _, n C )BBL C )GLS [ >1YDS E ]TONS <br /> CONTAINER TYPE, C )TANKTRUCK [-,4DUMPTRUCK C ]DRUMS C )BINS C )OTHER <br /> DESIGNATED FACILITY p <br /> NAME: /�f e'1 �,✓/- / "t �J f'�G[ ADDRESS : 1D O Vf/ c [fL22.! ' ✓jfSL P4;-- <br /> 7 <br /> ��✓/;f„t;nl�C 'Til �J.1s56�- �)7's/_ti PHONE# : '..'via- :,W'- �JoOo <br /> N MP VACUUM TRUCK SERVICE TICKETS <br /> ;a'Z7;;i i TRACT(TRLR# <br /> MP EMVIRONMENTAL SERVICES, INC. Bin No's <br /> a. 34D0 Manor Street Signature; <br /> ZSnkersflsld,CA 93WS Date <br /> Z 805/393-1151 PN DATE' ' ' Job# <br /> r <br /> Name t _ Disposal Method : <br /> ❑Landfill Other <br /> Address : <br /> a -- <br /> H <br /> J City/State/Ztp : <br /> U am <br /> U4 Phone.No : Time : Pm <br /> Discrepancy: --- <br /> 1- - <br /> is=.__ r `. / <br /> Signature: r �>�+• Date : / <br /> TRANSPORTER RETAIN <br /> vea nT:fT en/ii/i.T <br />