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ALTA Ewm6lNMENTAL SERVICES.INC. <br /> 831 DaAs St. _ <br /> VacavAle CA 95587 ------- -- --- -- - - -I <br /> �ktle}pr(nt arm:,ls� �` Nlrxr = j (800)7'94-2768 <br /> i dtdseipn.d Ta use 12 ' <br /> NON-HAZARDOUS }` i G erator's US EPA ID No ' Manifest !2F�_6-ge 1ANIFEST A�'�1 1 c, �' 1 Document No <br /> 3 tju er Ioe and rn Address n <br /> 11 , l L s a TCt�sMpdn1649 E Channell St � <br /> Ll Bc" ' '15103 , Scockr-on , Ca 35205 Stockton , Ca <br /> 4 Generator s Phone( 0 9) 465-3601 <br /> 5_Transporter 1 C m art Name G US EPA ID Number <br /> 1 , I�r°IE? rt,c1 -1 ng fr A ( 408) 927-9321 <br /> s 7 1 on,porler 2 Company Name 8 US EPA ID Number <br /> 9 Dt si noted facility Nam and He Address 10 US EPA ID Number A Transporter's Phone <br /> � �rfy 1 _Y P <br /> a i r I J n G <br /> H,-, 8 Transporter's Phone <br /> 1 F,�ad p <br /> Pd C facilitysPhone <br /> c.'✓7 7 I ( �+ ( 707) 451-3216 <br /> I 1 Waste Shipping Name and Description 12 Containers 13 14 <br /> Total Unit <br /> No Type Quantity W} Vol <br /> fr 4 r t-iaz.xt� does hydrocarbon 'IMPaCted :;0-111 , ACCEPT 4 011 5 18 yds <br /> MIEIGHMASTER CERTIRCATE - <br /> MIS IS JO CERTIFY that the following desarbed c4mirriodlly was w,alglred,ineasyiad q��p�r�d try a weigMnaelar wtwse sfpnrture In on this cert#"P %to Is•recogn4zed authority d accuracyas prescribed re <br /> Chapter l gorronI II19 yr th Section 12700)d Dmision 5 d tha G1lartsL Buttrseaa end Pr ioru Code adminWared by 1fw�rraion of Measurement Standards d rdthe Cetitornis Department of d and Agriculture <br /> -- •" --- o rqs <br /> 'fit ( ILKE 1 NU. 76707 <br /> 1r ! rrrt y Dt-vol phit-riL Co. 1411E . DEC 1, 1993 a:ibiw, <br /> (fit l i;lr, 7 <br /> i I,, c I� t 1i,.y 1(d. Vacavlj je, Co. Couimudity .0-SOIL <br /> at ( (1l 'r IL e/Utl3L : <br /> +t1IK_PL <br /> 1 atal Charge: <br /> ,01. ilk/ 1 i I L , ti 9�i6c3/ +,'Ia;hl Il,ti Change : iika. Q-1VI <br /> All <br /> f� 80r_40 (1+1) tiro ta W, i LAht. Lbs. <br /> a lits' i tjht L.C,s. <br /> bk!":a80 Net, Wt I t.1tIL Lbs i. ;,f- 4DY HAI-L <br /> rs r-Cs l U3 DEPM WEIGHMASTER <br /> 16 GENERATOR'S CERTIFICATION -1 certify the materials described above on this manifest ore not su Ten W f erai regulations for reporting proper disposal of Hazardous Waste <br /> Prmted/Typed Name Signature Month Day Year <br /> )—t-t roi' MIJ Cal Laas i ng � /G�� 2 <br /> 101 hj <br /> TR 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> S Pr41— Typ Nprr�e Com, / '� Signature ` Month o <br /> l oilor <br /> ,! <br /> O 18 Tronspurler 2 Acknowledgement of Receipt of Materials 1 <br /> R -- <br /> n <br /> E ime / yped Name Signature Month Day Year i <br /> r R <br /> 19 Dtscrcpoacy Indication Space r' <br /> r' <br /> F <br /> A <br /> C <br /> 20 Fualily Owner or Operator Certification of receipt of waste materials covered by t s manifest except as noted in Its 19 <br /> Y - <br /> Pr /Type � / rea_�A��{ Y r <br /> ;Y1 <br /> TRANSPORTER#1 <br />