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ALTA EWRONMENTAL SERVICES.WC. C� <br /> w - - - - - - - - - ---. - - <br /> __ <br /> 831 Daus St. - -_ ----- <br /> ateilla,CA 95687 <br /> I ,,�% F. {i;p3a1 t },�[�' VBC ,794769 <br /> } <br /> "�iPte..a primo y� { <br /> NON-HAZARDOUS ' 1 Ge�sf or's 5 EP ID No Manifest 2 Page 1 <br /> WASTE MANIFEST "�r'r' ' a k' Document No of <br /> 3 iPgrL�ralof Namr gpA tiI1rVddress 1 6 4 9 E Channell St <br /> I �) dc- 5- 5101 Lockton , Ca 952U5 Stockton ; Ca - <br /> 4 Generator s Phone <br /> ( �2 0� 465-3609 <br /> 5 lIransVil i L T' I Vny f PT c k l!1' 6 i1 U$EPA ID Number (4 4 g ) 927-9321 <br /> 7 transporter 2 Company Name 8 US EPA ID Number <br /> i� 5N�Ad ess 10 U5 EPA ID Number A Transporter's Phone <br /> 9 tQes�� d Fgnlyq�lrr �r}Id I t s dinC 0 Transporter's Phone <br /> a b ii_ay K,_�ad k `/ C h Facsbty'sT/� <br /> Y .Ud . 71 �F Ca ( Y} 451 --3276 <br /> 14 <br /> 1Waste Shipping Name and Description 12 Cont, <br /> 1 sc <br /> Total Unit <br /> No T pe "i" <br /> Wt Vol <br /> ir- hcizar dous hydrocarbor impdctea soi 1 , ACCEPT 11 011 65 ! R ydii <br /> _ 4 <br /> YVE"I"MASTER CERTIFICATE <br /> THIS IS TO CERTIFY that the loll described commodity was weighed measured,a easrtted by a wieiglrrtaslar whose sipnafura b at this urtficste who fa a raeap�f:ed augrorAY a accuracy its prescribed by <br /> Chaqter 7(commencing with Section 12700)a DMSM 5 a ilia Catfomk Business and Arolessions Code administerad by tha�Mis�on a Measut�narst Standsrda til <br /> tAa CaUlanfa Dapartmen!a Food and Agncutlura <br /> i <br /> 4ldst3liuic,bE vi y TICKET NO. S 76747 ' <br /> Tr > { tlitnt ) i)eve l u�ulel,i: CO- <br /> DPITEZ DEC 1, 1993 l l.55. 48 <br /> Wei tjl .a 11 +d (,,,re(, Hay Rrl. Vacav > l ie, Ca. Contmod ity :C:-0,301L <br /> kCf (1111,111 . 1`1�/ 1lric_e/Un3.t <br /> rI r I " I IV J _�, WON NOPLAI �f <br /> l <br /> pl v f," ,, t I21 1 1 j/V Total Charge: <br /> a <br /> } Tendered : ' Irl. 00 <br /> VF�CI�i! �! E� , X3:,1 t3, tZslZlk►I <br /> Change : Irl. J')1zi <br /> i <br /> to l r 1 I 11 Ick 1 1 L. a <br /> 812100 (14) 1st 1st, 111 S Ijtlt LE.ia. <br /> 29820 T.Ai Vli� itjhU _ Lbs. <br /> s� .j 1 5B NEl i EI,- t 13t It Lbs,. bNNDY HALL -, <br /> L <br /> SC}{}ilTki3 l i+iiL3tfI G l75. } r titz-k lllu. 1.,6 'i DEPUIYWEIGHMASTER <br /> Tu - <br /> * ; <br /> 16 GENERATOR'S CERTIFICATION I certify the materials described above on this manifest or na { eral regulatsons fw reporting proper disposal of Haxardous Waste <br /> Printed/Tyd Name Signature Month Day Year <br /> pe <br /> Agent 7©r M-1d Cal Lea5lnc3 / 1Z 41 93 <br /> T 17_Transporter 1 Acknowledgement of Receipt of Materials <br /> pPrin 4T ped NameQ�j� Signet }^ <br /> N <br /> P <br /> O 113 Transporter 2 Acknowledgement of Receipt of Materials r� <br /> Ft Month Da Year <br /> EPrinted/Typed Name Signature Y <br /> R <br /> 19 Discrepancy Indication Space <br /> F <br /> A <br /> C 4 <br /> 1 <br /> ! 20 Facility Owner o,r Operator Certification of receipt of waste materials covered by this manifest except as noted in Item 19 <br /> 1 r , <br /> T i <br /> r Y Month pay ar <br /> Ps T ed ase ��r� Si re p! <br /> { i TRANSPORTER #1 <br />