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12/12/03 FRI 08:08 FAX 6613911998 CHEVRON PIPE LINE KRNRVR 10 021 <br /> TZOln IC998 ON X-d/X.LI TO: CO/TT/ZT ' <br /> NON - HAZARDOUS WASTE MANIFEST <br /> PROFILE NO. <br /> 1.800-458.3038 / ?00 <br /> ❑ eAKERSFIELO ❑ YOLO ❑ 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 /> Names: %f/6Vpi✓ .lil' �vc' <br /> rt <br /> 0 Mailing Address ; %•7 �' -%�1+A++1 (:.e+-•�+s>iy :.^v�' <br /> Q <br /> Lid City/State/Zip: <br /> Z <br /> W l>G/- <br /> O Phone No `��' 33.0 Contact: 'Al <br /> m Signature: ll!:.:r�/:% Date: <br /> F THE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 100% NON-HAZARDOUS <br /> Uj <br /> Ja Waste Description : 'Crtre,.s ,� i�5pt;,iZ'u 5o/G lf/i�e P�/zl� <br /> U Generating Location : +��� •r1 :Jiyvt /'L/i/ %%+ Lia f ���y <br /> w l✓per - <br /> M Handling Instructions ; <br /> O <br /> ~ QuantityE 158L E IGLS E-1YDS E ]TONS <br /> 1 <br /> CONTAINER TYPE: E ITANKTRUOK [-'fDUMPTRUCK E 3DRums E Jaws E ]OTHER <br /> DESIGNATED FACILITY : <br /> NAME: AL_metrAr L44kWF14L ADDRESS : <br /> CITY/STATE/ZIP: Jr=� �+%'fit G+4 PHONE# <br /> F <br /> TICKET#!'I�`�>'�'`�. j .. zs <br /> YACUUM TRUCK SERVICE urRAGT/TRLR# 6> / -='lx <br /> ENVIRONMENTAL,SERVICES, INC. Bin No'sManor Street Signature:rsfeld, CA 933D8393.1151 PNDATE: - ci = Job# <br /> e.: Dis osal Method <br /> F <br /> Address: Landfill other <br /> .t City/State/Zilp <br /> U <br /> LLL Phone No : Time : em <br /> U) <br /> Discrepancy : Pm <br /> I— <br /> Signature : "'}- � ' `•- Q' Date : , -' L/ �.•_ / <br /> T>�� TR4NFRnQTGO RGTp11J yp,, ,9•ni no iTT i>T <br />