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12/12/03 FRI 07:55 FAX 66139"498 CHEVRON PIPE LINE F^`TRVR 16013 <br /> 1/ 1./ <br /> CT0 1M [C988 ON YH/YSl TO:Z. ilHS CO/TT/ZT <br /> NON - HAZARDOUS WASTE MANIFEST <br /> PROFILE NO. <br /> R1800 /0`Uo iz <br /> � enKERSFIELD ❑ YOLO C5 PHOENIX <br /> NOTE. This form to be In lieu of the Toxic Substance Controls hazardous <br /> waste manifest. To be used for NON-HAZARDOUS WASTES only- <br /> Name ; <br /> nly-Name : 0A IrV r"&1 ?I ej_/I Al F <br /> 00 Melling Address : /_Si/G I,.�.t r . , • - J c/•= <br /> a ' <br /> W City I93tate/Zip : !�L—AV it-.l-itc_•� ''A CR_7z"? <br /> Z <br /> W <br /> t4 Phone No Contact: 7-/<>_ iirN'iJrr1 <br /> r <br /> m Signature: X,4 "/� e . i' Date: /„a <br /> THE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 100% NON-HAZARDOUS <br /> W <br /> CLWaste Description : 1__&;L �,r Ad ^r:v rar %/.:-2v G YJ / /J F'r�•8i} <br /> CL , <br /> O Generating Location : ./.:'l k"/6f <br /> LU 7 <br /> m Handling Instructions : <br /> O Ouanffity: .=2" C JBBL C ILLS DQ YDS C ]TONS <br /> CONT''AINERTYPE: C 7TANKTRUCK C.'aDUMPTRUCK C 3DRUMS C BINS C OTHER <br /> DESIGNATED FACILITY <br /> NAMEj: . 1,R V0 r,f t ADDRESS: /��y�!/� /T4Tr': .may �1'r � <br /> CITY/STATE2IP; ;�, vFi�.Glu,`G I-A 'Ll/'Sb.. '%�.f.,�' PHONES <br /> Cr <br /> s MP VAT <br /> VACUUM TRUCK SERVICE ICKET /T* TRACTRLR* / ? <br /> 0 MP ENVIRONMENTAL SERVICES, INC. Bin No's <br /> a 3400 Manor StMat Signature: <br /> Z Bakersfield,CA 93308 Date <br /> 605/383-1157 P/U DATE: Job* <br /> Name; Disposal Method : <br /> Addreds : Landfill Other <br /> Y ' <br /> H <br /> City/State/Zip <br /> U <br /> tai Phone INo : Time: am <br /> Discrepancy : am <br /> H <br /> :n <br /> Signature : Date : <br /> eTn M TRANSPORTFR PFT41M <br /> 9Tl> Ui [CT Cn/TT/>T <br />