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ALTA ENVEMME ITAL.SERVICES,WC. <br /> w.>ux r - - ----- -- -- - -_ - ----- 831 Davis SL-.-.- --� --- - - - -- - - <br /> ;�e�,�-Qrl, r � r ' Vac�a/�� CA 9=7 <br /> ry IFE��rh�t1i f-r� %Ai l•r Cik (OW)l{I"i BMW <br /> �or#neksipned ,�aeTget��`� <br /> NON-HAZARDOUS "_ ` i GEt�eOrgtor' US EP�,D a IJ c DocumenlsNo 2 Page 1 <br /> WASTE MANIFEST rrVV LL �+p °# <br /> 3t„fCie,qergeo s NarriggI7 S_Pf r% Address 1649 E _ Channell St <br /> a, , -15103 Stockton , Ga 9520t Stockton , Ca <br /> 4 Generators Phone( 209 465--3609 <br /> 5 Tran r er 1 Cro pa Noma 6 US EPA ID Number <br /> 1. imp r' Hulk-i rq1 IJ / A ( 4 08 ) 927- 9321 <br /> 7 Trumporter 2 Company Name 8 US EPA ID Number <br /> 9E Depiy�81ed FoctlityNa{p�cinjto Addrre�s� 10 US EPA ID Number A Transporter s Phone <br /> C 4 �r; f 1 d 1 k L1,1 <br /> ,CC��a� ff 11 r� ` A g Transporter's Phone <br /> l a c'J V l is d C Facili 's Phon <br /> �7075 451 -3276 <br /> 13 14 <br /> 11 Waste Shipping Name and Description 12 Containety Total, <br /> o al Unit <br /> No Type Quanti Wt Vol <br /> 19-1 1 -hat z z,r UC,tl!t, hydrocat,bcf- 'lmpact.?d _:ci I , ACCEPF U 41 1 5 18 Vds <br /> WEJGNUASTER CERTIFICATE <br /> THIS i5 TO CERTIFY That the 1011l described commodity <br /> (commencing <br /> arelgha4 measured or counted b ww <br /> a eighmasfer whose signature is on the earti le will IN+ Ized+homy of**curacy as prescribed by <br /> Chapter T(comencing with Section 12700)d Drviaiori 5 d the California Busetew and Proreasrans Corse administered by the Division at Mossumment Standards of the Caldl Deparrrrierit of Food end Agriculture <br /> Wf t, tll,ui�t%i e r TICKET NO. 76737 <br /> F I t toli,Ly I OpIil Co. D(iTE: DEC 11 1993 11 :01 .Q=�� <br /> 64 i lit.4. J IP L, i i t-Ay Rd. V,=cc-tV I J 1 e, (,'I? Cumtel t V C—COIL 1 <br /> 1 (x11111 : ir, „ 11) ice/Un-tt : <br /> L tri # 14Vik/11014 14101 L(4t_ <br /> 8�i1 =ti Ili I!, ., I )ti 1 i' fatal. Charge : t <br /> Tendereds U-111. 3 <br /> Vf!i Itti 1 11_i_ Change t $1D, t�tflJ <br /> -;(I 1 I 1, 01 .1 Lie <br /> /8920 (lrl} C)1 t, LJt l FAilt [ bl.. <br /> Sl I x1 t_ Ll, I Ljht L-h,.. - <br /> 7+Fi40VA If, C I), 111hU I-115. ..)nNDY HALL <br /> r <br /> { r =ill I l 1�r, fl f+F� DEPUTY WEIGHMASTER <br /> 16 GENERATOR'S CERTIFICATION I *artily the matermlr described above on this manifest are not Sul fed ral regulations for reporting proper dail l of Hazardous Waste <br /> Printed/Ty ed Name Signatur Month Day Year <br /> Ate rpt or M-id Cal Leasing 01 W3 <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> R Print* Ty�p6d t4` _ Signotur` -' Y <br /> M fh Do Year <br /> S <br /> P 18 Transporter 2 Acknowledgement of Receipt of Materials ' <br /> R Month Da Year <br /> T Printed/Typed Name Signature Y <br /> E <br /> R <br /> 19 Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> I ___ <br /> 24 FuulHy Owner or Operator Certification of receipt of waste materials core red by this antfest except as noted in ITem <br /> I <br /> T <br /> e N' Signal <br /> Son= <br /> f [J rr <br /> lip <br /> w �. TRANSPORTER#1 �4 ' <br />