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ALTA ENVMNMENTAL S>=RVrEee INC. <br />- -.r-----.� --�-- -_- - - - - - _- - ----831 Davis SL_- <br /> �K f" r;l. b ;�� �f rt ^ - VacavAki.CA 96887' <br /> �' flnflrTs�lpel-`3hs � (804)7Sd 2788 <br /> N s nod lar ttstt on Nlte >Iz <br /> e NON-HAZARDOUS I G nerators US EP ID Na- Manifest 2 Page 1 <br /> �'Jot A p p G Document No of <br /> WASTE MANIFEST <br /> 31 Gegvrgtot s laepe,,-�gOd Mo Jing Address <br /> 1 n+r 1 6 4 9 E . • Channell St <br /> � <br /> `a 10 3 , Stockton' Ca 95205 Stockton , Ca <br /> 4 GL11erataf s Phone( '109 j 469-360,::! <br /> 5r T,an;GQrrter 1 Corn on Name 6 US EPA ID Number <br /> rucl Ing N / A (408 )- 927-9321 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number <br /> 9 Demgn ted i4aciry Narrfe and15{te Address 10 US EPA ID Number A Tronsporter's Phone <br /> L c�n'`_77 T 1 11 f.1e G <br /> B Transporters Phone <br /> C Fac,h 's Phone <br /> IE L a 707 ) 451 -3276 <br /> 1 I Waste Shipping Name and Descnption 12 Cont mert Totalh 13 14 <br /> Unit <br /> No Type OucinWt Vol <br /> 9r hydrocarbon lfllpacted �,Cjll , ACCEPT 41 011 5 18 yds <br /> WEIGHMASTER CERTIRCATE i <br /> THIS IS 70 CERTIFY that the foeowmp descnbed corrmwdily was welpFted measured or rousted by a we+glmaster wtwoe nslure is on the certltcrte who Is a rsoopnlysd aWhonry d accuracy a e proscribed by <br /> Chapter 7(commencing wrath Section 12700)d gtviston 6 d the Callornie Buartesa and Prdeitaions Code administered by the tilos d Measuierttant Standards d IFw Calf[omia Department d Food and Agrscullure <br /> W U I kI I + , i T I CKET NO. : 7672:5 <br /> "r , + tlIIty 1,e vvIuppient Co. DATE: DEC 1, 1993 s 1121:08 44 <br /> 1t I1t1 „ i1 I_t C Hay Rd. Vacavi Ile, Ca. Cammadity :C—SOIL <br /> It f (It 111 i w 11-.3/ forst_ e/Unit; : <br /> I r l ._I I'v I t, f 11 it i WORC.AL <br /> -1 1,i !+I t t I FcLI_ f Total Charge : <br /> Tendered : $0. 00 <br /> VAS 10 1 l 1 t , 95U1 i 001,ttl Change : $0. 00 <br /> �rC1 I l 1 i <br /> It <br /> 61 toBIZA (M) (-t} tit a !Ilii. Lbs. <br /> J 1.3-60 Coil 13 Ut j chit Lbia. r 3r <br /> / 3U);it:0 1'1c 1, till 1111'1. Lbt,. IrtlaitV BORDEN <br /> l n t t f,i 4 ,t 3 .r, .i t 1 tLt I � �. 1 + t c f: 1'I o ''_c 06 DEPUTY WEIGHMASTER <br /> 16 GENERATOR'S CERTIFICATION I comfy the matenals described above on this manifest are sub federpl rapulottaas for reporNnq proper di"sal of Hazardous Waste j E <br /> Panted/Typed Name Signator Month flay Year f <br /> rar• M1d Cal Lt3aolnq 2 <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> R <br /> N Printed Typed Nfloae Signator _ Mon! Oa/ Y <br /> J !!! <br /> P <br /> O 10 Trunsporter Acknowledgement of Receipt of Material : <br /> EA Pnntr.d/Typed Name Signature Month DaytiF Year` <br /> R <br /> r <br /> 19 D+screpancy Indication Space <br /> F <br /> A <br /> C <br /> 1 <br /> L 20 Facility Owner or Operator Certification of receipt of waste matenals covered by this anifest except as noted in <br /> 1 Item 9 <br /> 1 T <br /> Y --- <br /> P - y ed Nam s notu Mont Day r <br /> !� <br /> 3 <br /> = TRANSPORTER #1 <br />