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g t <br /> ALTA ENVIRONMENTAL SFFWCES,INC, <br /> � <br /> -831 DaOs S3 <br /> -- <br /> v(8v"97�s 800)72768111 <br /> hL� d QAettte tie <br /> I Generator's US EP ID No _ Manifest 2 page T` <br /> NON-HAZARDOUS N t P1a I Document Na of t <br /> WASTE MANIFEST . <br /> i Generator's Name and Mailing Address 1649 E _ Channel I St <br /> LSI I k-a I 1-eas1nv <br /> 5tocktort , Ca . <br /> 60,, 55103 , Stocktor) C6 95~75 <br />, <br /> 4 Generator's phone{ ►ft U fJ 5- 3 6 0 Ca <br /> E <br /> 5 Transporter 1 Company Name 6 US EPA ID Number e <br /> 6r I � Yrut 1 Ing Iv / A 'It <br /> (.408) 927--9321 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number <br /> 9 Designuled Facility Name and Site Address 10 US EPA ID Number A Transporter's Phone 1 <br /> t 1 GI S L C,I i j f I I I l C. B Transporters Phone <br /> r 1 u Lia s h i]a t! I`! A <br /> C Faalit,/}��qr{p � 451-3276 <br /> C U ! <br /> Tot <br /> 1 i Waste Shipping Name and Descrtrt ptio12 Container T4 <br /> al Unit <br /> No Type ociantity Wt Vol <br /> has it dc:jus hydr ocarbotl 1TryWacttU _.o I t , <br /> AC( Elaf - ix-0 ! l65 �8f Yd <br /> i _ 1 <br /> WENUM"TER CERTIFICATEd security an peeeeribed 1ty <br /> IS IS TO GERIIFY that the tollodescribed Cornrrradly wee v Wised rneaaurod. of Standards counted b a wail a•1ef wttoee�ypnature k on this certlic•ta trifid k• • h <br /> spier 7(comrnencing with Section 2700)d Division 5 d the California dusineas and Professions Gods adnlnislered by tha�iwisfon Me■surerriarStandardsd the IYotnia psp•rtrrienl d Food and Agriculture <br /> s <br /> TICKET NO: : 76771 <br /> t lel ii sk l '3: <br /> rz -t ,�� iii,,, 1]kvelopmeT1L Co. DATE-. DECI it 1993 1�.• r�IIc411 <br /> Ji's gii ~' r {f�cfit�y Ltlj. Com <br /> VGtcavl i 1 e, { a. t�adzty :L' -SOIL <br /> Y 'l71lit1 4`-t;, f F`r�1C:e/L1Tllt : <br /> F a L ilk" I Lt, I'll 114 1 10FR"1L_ <br /> Total Charge C <br /> Tende%-ed : t�- <br /> \ 5 Ei i�I s<i til lz1 <br /> Ch an g e : $0. QI O <br /> VFaE�f=111 ' L I L r ' <br /> SIJIL it of tt `i ICA, <br /> fllrrta� (Ni) <br /> Eli c1: IdL I�IIt 1 tfs. <br /> 00 Tact e W, i I;r1t. I lis. - <br /> �_ �,L�660 I\ItaL WE'J flit t1.t,a- MORY BORDEN <br /> a ,o i o1 .6 i t L V! G k_L7 a. TV i l 1 11 DEPUTY 4VEIGHMASTEA <br /> �FikJl7 t111 <br /> 16 GENERATOR'S CERTIFICATION t certify the materials described above an this momfett ars not to repulathms for reportmp proper disposal of Hazardous Waste <br /> Month Pay <br /> PnntedJTyped Nome Signature Year <br /> r. for Mid Cal Le411SIr,9 121 01 93 <br /> * 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> N nJ�s Pa� � t <br /> A ed/Typed Name Sig <br /> N inli t e <br /> O 18 Transportr 2 Acknowledgement of Receipt of Materials �' t <br /> R $i nature SA„� <br /> T Prided/Typed Name tT Month Pay year <br /> ER <br /> 19 Dis"aponcy Indication Space <br /> F <br /> A <br /> 20 Facility Owner or Operator Certification of receipt of waste materials covered by this anifest except as noted in Item I9 <br /> 7 _ <br /> Y Pru Typed N e 5ignatur MontQytu <br /> a <br /> i TRANSPORTER #1 y <br />