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ALTA Ewunrii tulEN L sERvICES,IMC. <br /> 531 Davis Sir. , <br /> --Vw - -_ -_- l <br /> jdA� CA 9568 ,1 <br /> M <br /> t 71AI tt (8W)724-2768IN <br /> s t g3#esignatcl� 1Ci 6 s <br /> ria NON-HAZARDOUS I Generator's US EPA ID No Mom#est 2 Page 1 � <br /> ' WASTE MANIFESTN(3t A'j-)I�l I G �� I e DowmenT No of - <br /> 3 Generators Name and Mailing Address _ 1 649 E, Charine 1 l St <br /> m i o Ica ' t ill S3nC, Stockton , Ca <br /> 3- i, au. 6 � 11]3 , Stockton , Ca '15205 1 <br /> 4 Generator s Phone( 2 014 465-3609 <br /> 5 Transporter 1 Company Name bUS EPAID Number 4 } 927- •� <br /> f, tis rr 1 e T r U C k I rlc r' A <br /> 7 Transporter ?Company Name 8 US EPA ID Number <br /> t <br /> t 9 Drte <br /> ,signaied Facility Name and Site Address 10 US EPA ID Number A Tronspor's Phone <br /> E, _ rrj I Ia-cif -, li , 3rtc 1 <br /> B Tronsporter's Phone <br /> d Cj Ir P�g <br /> I j 7 r C facility') 4 5 1 3 2 7 6 <br /> 7 lJ r <br /> -AV <br /> ------� <br /> J12 Container 13 14 <br /> 11 Waste Shipping Name and Description Total Unit <br /> No Type Quanti Wt Vol <br /> :,c» 1 ACCEPT U 5 18 yd <br /> WEIGHMASTER CERTIFICATE <br /> rtil5 IS TO GER rIFY that the losowng described camtodily was weighed measureQ a counted by a weighmasier whose signature is on this cerillcale who be�-. <br /> •ropnlzed aythorlly of sty ecurias prascribed by <br /> Chapter 7(aorrvnoricrng with Section 127W)d Division 5 at the California Flusness and Profesabna Code administered by the Dtva+wn of Wasummont Slanduds d the Catdotn4 Depsrtmont d Food and Agrcutturs <br /> WP r [}i i ill,i:*'L f i T 1 L 1«l NO. : 76699 �-�--� <br /> Tr I ulrtL ; lie (2 1 opment Co. DA I E : DEC 1, 1993 ' 81:3•+: 1, <br /> WL Flit it iii, 1 4L-_(, Hay Rd. Vacaville, (-.A. Lommfadityi:L-Ell <br /> r�(: f11li } 11J / � 1 - I''i 1 [ k?%lli11t <br /> 10hi I IJkiI l 114011 ItI(11:t F� W� <br /> 1 - 1 i itl l z, 'r t t,,L t I l of a l Charge : <br /> �f � / rendered -. stib V10 <br /> Vf,l til' i 1 Ili 1 \ 951718/ 000141 Change : $0. 00 <br /> 50II ,l ill ir '_l <br /> 9CAO (t*1I iflit I L' <br /> i3 �IIZI <br /> ' 01 ��1 41 IsI�L l b,,. <br /> ,' 4 ���011 t1; t W 1 1111 i May. C)(IN V HALL E <br /> DEPUTY WEIGHts1ASTER <br /> cppm�y g gr I1q`T1 � <br /> r <br /> c��rdJJ <br /> J <br /> 16 GENERATOR'S CERTIFICATION I certify the materials described above on this manifest are not subject to federal regulations for rstpa a disposal of Hazardous Waste <br /> Da i <br /> Printed/Typed Name Signature 'i; Month Y Year <br /> 1 12 <br /> mid Ccjj <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> A PnntLd/Typed Name Signa re /� Monti Day r <br /> S <br /> P <br /> C) 18 Transporter 2 Acknowledgement of Receipt of Materials <br /> R Month Day Year <br /> E Printed/Typed Name Signature <br /> S <br /> R <br /> 19 Discrepancy Indication Space <br /> FA .) <br /> C <br /> I <br /> L 20 Facility Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted in Item 19 <br /> I <br /> T <br /> Y <br /> Panted/ ype Na <br /> } <br /> ¢ Ri e� TRANSPORTER #1 <br />