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VepavRle, CA <br /> ( 794.276 E�® _ 8�•4 <br /> yte nt <br /> on fK�p Ns <br /> NON-HAZARDOUS �' 1 c�r}ertptark�IS_Ef�a,IIDa� I t OoMane{spa 2 Page r <br /> S f�f� C <br /> of <br /> WASTE MANIFEST <br /> qYnereicg>1 Nae,?cgt,1411,tyAddress 1 6 4 9 E Channell S t <br /> u , <br /> Bo, 55 1 03 , 3tockton , Ca 95205 Stockton , Ca <br /> "U9 465--360G <br /> Si_ <br /> 4 Generator s Phone�(rr-TporftU,Cp!rCpam tlp MM 6 N YS Ef A ID Number ( 4 0 8 ) 927-9321 <br /> 7 Tronspoiter 2 Company Name 8 US EPA ID Number <br /> 4 DKo-pn ted Fac+loty r4gplg pn�I lite A res-4 10 US EPA ID Number A Transporters Phone <br /> 3�1 ,r i4 1 l_Ci F 1`1 I �1 1 I i I�C <br /> B <br /> c l c ( J Transporter'ssPhone <br /> CFacdrlY� } g 4 <br /> 5 1 -3 2 7 6 <br /> 12 Containers <br /> lb <br /> 11 Waste Shipping Name and Description Total <br /> Unit <br /> No T pa <br /> Q.ani Ity Wt Vol <br /> 4il4i , I a«i'dnu5 hydrocarbon irrpacrec! -.u­l -1 ACCEPI 4 011 5 18 -yds - - <br /> WEIGHMASTER CERTIFICATE raaop'rtIz <br /> iS t5 TO CERTIFY that the IWbwrw tlescrRted tamooditY <br /> was welglsed measured or counted by.we gtrnesler v+hoae ugn.ture- as u�eat Standairds at the Califoorrnia Depapattrneni d F�oodaand ncbutt re 3 <br /> apler 7(earrimencing vnth Section 27001 d DMsron 5 ai the Cakformia Business and Proleeaions Code adrnlmatered by tM Dir <br /> W�+i,�liiir tel �r a FYLKF_1 NO. : 7675:: C� <br /> I1 1 i_t}1iirLy !3t vt�lU;3rnE+rtt Co. DATE; DEC, 1! 1993 , 11 :G�08 <br /> Wel<t�l,} it i tl�i.'-1_ I1,ay 12d� I}acavl le, C��. Commodlty :C-SOIL i <br /> 64(A C,1J111 t. ,I ] iir iLc-e/Unit : <br /> { I + '11111 '11011 <br /> ) l � ! ;r f_, ( itl L_ l I I "t'nt�l. Chat^ge : _ <br /> r, r ,f Tendered : $0. 00 <br /> t, <br /> ()'_JE t1 I i n,cl lr k lU Ch a n a e : r,0. 4^x'1 <br /> VW fl" I3 I_t <br /> Fyi 111 It t i <br /> � C. ! lFSL14� (117 i_l c,�ei ilt. , e�tit I_t�s. ; <br /> JI a r7 ,11 LIJ840 I �,r� W _ { �1rt' L1j3. <br /> �� 013 100 NL-L E)F11JDY HALL - - ,,- <br /> � �� <br /> f ip�,? I r W t c 11 f t. k,06 DEPUTY WEIGHMASTER <br /> G <br /> 1 <br /> 16 GENERATORS CERTIFICATION I certify the materials described above on this manifest are noj federal regulations f« ra proper disposal of Hazardous Waste <br /> Printed/Typed!Jame Signature Month bay Year <br /> Arjwtir for Mics Cal Leasing 01 2 01 � <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> R <br /> A Pn /Typed Name Signature Month Day k" f <br /> S y G¢ <br /> p18 Transporter 2 Acknowledgement of Receipt of Materials ? <br /> J" <br /> T Printed/Typed Name Signature Month Day Year ' ' <br /> a t <br /> t R � <br /> 19 Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> 20 Facility Owner or Operator Certification of receipt of wasle materials covered b is manifest except as noted in Item 19 <br /> i <br /> �nped Nam Sign ur Month Day r <br /> lulla �:d TRANSPORTER#1 <br />