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ALTA ENVIRONMENTAL SERVICES, 11,4 <br /> 831 Davis-St 14 <br /> p V=aa CAA.5658887 '' <br /> h daalrgrted�us<am�ulfTt2 , <br /> �y ry 1 G er ' US ERi IA No Manifest 2 Page 1 " <br /> NON-HAZARDOUS i�0torA P p i 1 c�,�, lE: Document No <br /> of <br /> WASTE MANIFEST <br /> 31nC1,,s7ercttorrsNarped&d4Ark4l Address ,r 1649 E Channell St <br /> B0 , h5103 , 'Srockton , Ca 951)5 Stockton , Ca <br /> 4 Generators Phone( 2019 465- 3609 <br /> 51 TranL,,$r>Lar 1 co garb t�aU 4 u l n b N Uf5 @PAA ID Number {4 0 B ) 927-9321 <br /> 7 TmMporterE�2 Company Nome 8 US EPA ID Number <br /> 9 Du i ed Faakil Na ggan le Address 10 US EPA ID Number A Tronsporter's Phone <br /> f �Urgf 1 t Yc I,C3 7 l 11 1 O C B Transporter's Phone <br /> 1 a X15 , hv,3t� h � A <br /> C Fouli 's Phone <br /> e �: civ1 Ic C 07 ) 451--3276 <br /> 11 Waste Shipping Name and Description 12 CoMame(i 14 <br /> Tot <br /> al Unit <br /> No Type Quonti WI Vol <br /> 9,%,1i— h6 Z--*- d )(13 hydrocarbon Impacted cr i l , ACCEPT t1 0 115 18 yds <br /> WEMMASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the fopowr�desaribed oarrxrsodily was weephad measursid,or eos,riled by■wsriphmrsler vrhoea•Ipnatwa le on Ihls Gartlloate who Is a�s�.^op�ized suthorlty of accuracy as prescribed by <br /> Chapter 7(commencing with Sect on 32700)of Drvis+on b a the CaYlornia Business and Proleasrons Code adminrslarad by tha Uertalon d Massuramsrd Standa,�of llw Cal�omis Department d Food and Agncutlunt <br /> rwe I ''i t t"t i t 1 1.CKE f NO. : 76743 <br /> Cy x t „itt7t y IOptllel.t; CO. DATE.: DEC 1s 199,E 11 5s3 3 <br /> Wee W ,i d t,, o I1--(3 I-lay fit ) 1e, Ca. (.,amt odIty :C,—SOIL <br /> PC I-(it lt%, 1 151 = rr / Ili-) c /Unit : <br /> 1 fck L I r /l/ 'Thal Chdl^ge : <br /> r <br /> Tendered : 41W. 0111 <br /> Change : 4n <br /> _y <br /> �) I0 7,20 (I1) (,r u r H iL;ht Lbti.. <br /> 13 0 0 N t W, t , tit Ltj, . (,fINDY HALL <br /> L T l E]i t df t 1 i I :t1 FYf i IGPL�TU I s i t i.1< i 1,1 �S DEPUTY WEIGHmA8TER <br /> Ib GENERATOR S CERTIFICATION I certify the materials described oboe on this manifest are no1jWIw 1p fqjdall mgutotions for reporting prop*r disposal of Hazardous Wosis <br /> Printed/Typed Name Signature Month Day Year' <br /> �%,Jant f Lr Mid Cal Leasing , 2 (lJ <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> RM nth Day <br /> Nf'nnted/game � Signatuce� <br /> P <br /> 0 18 Transporter 2 Acknowledgement of Receipt of Materials <br /> T Printed/Typed Nome g , <br /> Si nature Month Day Year <br /> .- <br /> T 1 <br /> R <br /> 19 Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> 1 <br /> L 20 Facility Owner or Operator Certification of receipt of waste materials covered by t manifesT except as noted in Is 19 <br /> I <br /> T _ ' <br /> Sifts^ nth <br /> t <br /> s f11 TRANSPORTER #1 #` " <br />