Laserfiche WebLink
ALTA ENVIRONMENTAL SERWUM INC. <br /> -- -_ �v — -– - w — -831 Davm SL -- -- -- <br /> ' -f' (81M 7,94-2768 <br /> _�, Vacai 0.CA 85687 <br /> 7 • <br /> .A�HK'M' WA <br /> NON-HAZARDOUS 1 nerators Us As IDN Manifest 2 Page 1 <br /> ?i C ` �� C W�j Document No of <br /> ' WASTE MANIFEST <br /> er tQr Nam nd MoilingAddress <br /> � f'at� L ,s -ing1649 E. Channell 5t <br /> Stockton" Ca 95201i Stockton , Ca <br /> 4 Generator s Phone( 209 ) 465-360(, <br /> Trar�R �tl G r CfEPo yr u C IC 5 !}l5 EPA ID Number {4 0 8 ) 927 <br /> — 9321 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number <br /> tl DgsNnpted FaSrlrgylNafrleant!Stte Address 10 US EPA ID Number A Transport <br /> er's Phone <br /> C 77 CC1l�T l t B Transporter's Phone <br /> i `o '� r' R U a d r C Facility's Phone <br /> yv � I I� , fit ( 707 ) 451 -3276 <br /> 12 Container 14 <br /> 11 Waste Shipping Name and Description <br /> Total Unit <br /> No Type Quanta Wt Vol <br /> Yat n tiozardourp hydrocarbor -Impacteiw �Q1 I ACCEP-T u 01165 1 8 yds <br /> THIS IS TQ CERT +t the FWo dee)d-d e -Hilt'wee igtbe ,ft.04- �per�p by wfwr�1pn.t�ro is on thle cariFiule wfro k•recopn aNhottty of accu»cy as prescribed by <br /> Chapter 7(tarty h�wNh Satter 12700)d DMaion 6 0l the t;aWy or Basine»s a raf 61ppr Code Irtislered by the�ivisbrr d Mesnurerrent suridsids of the Cilloorn4 Department a Food and Aprkunuref C"o <br /> WeIIji, it,tU at r - � l ICKEI NO. a 77700 <br /> Tr"1 I „,(iity I)eve3 op.nevit Co. ' f)OFF- c DEC 1, 1993 6:54 :23 <br /> Je l lyl rt_tJ Li I lay Rd. Vacaville, 0,A. Contmod i# y •(1- ;3UIL <br /> C1'lili 11 . 1st ;/ i`l- ls f'/F1t.) It : <br /> "Dotal Charge : <br /> -fendei^ed 0. vi <br /> VAL,O) I I L L , ` bLo7 t/lV„gl1/l ncange : $0. 00 <br /> r� C <br /> /=+7i010 (i'1) f,r ff"i. t11 ] !Jilt I_L=rS. , <br /> gIlL L i-)5. a <br /> "I 4 B0 IAL i Wt .t s;I i 1, L b b ut t D Ne I{ALL , <br /> r W ly <br /> ftJIG" <br /> I Tz E t+l i t i.l i . /� 'i 4 r' i_L)4i. i r't f C It DEPUTY VVEIGHMAS1ER t y <br /> 16 GENERATOR'S CERTIFICATION I certify the materials described above an this manifest are not subW to leder repuiations for reporting proper deposal of Hazardous Waste <br /> Printed/Typed Name Signature _ fj� Month Day Year j <br /> r=t,t Y ,Di 141T [j � � 3 t_�a� Tn ] Com,{. ! 2 1 3 <br /> T 17 Transporler 1 Acknowledgement of Receipt of Materials r <br /> R -- Month Da Yourw f <br /> M Printed/Ted ame Signature Y �+ S} <br /> Y � y <br /> S _ <br /> P 18 Transporter 2 Acknowledgement of Receipt of Materials — I <br /> R Month Day YeE <br /> T Printed/Typed Name Signature ars <br /> E <br /> R <br /> 19 Discrepancy Indication Space <br /> E <br /> A <br /> C <br /> 1 --- <br /> L 20 Faciftty Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted in Hem 19 <br /> 1 ' <br /> T <br /> Y Printed/Typed Name C ign e Month Day Y <br /> e <br /> f <br /> _ � Er: TRANSPORTER #1 <br />