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ALTA EwfRONMENTAL SERVICES,INC. ; " ' <br /> 831 DaVfS St <br /> �jacav�e7:9C.tAIu�'SQSe687 <br /> m f>�ri� w on <br /> NON-HAZARDOUS x` �� 1 Ge er tor' USE A ID No s ° ^ Manifest 2�Pagedl <br /> WASTE MANIFEST `' pp�1 �Cak'l� Document No of - <br /> 3N + <br /> i �per�tq['slNa�a and Ma-V Address 1649 E _ Channel ) St <br /> II )) kY�SI{l`3 <br /> i, bc- - 55103 Stockton , Co 95205 Stockton , Ca <br /> F <br /> 4 Generator s Phone( 209 4b5--3609 <br /> 1 <br /> Sr`Trarysp3rter f I Cq ez N LI C 1�l r,CJ 6 t4 /S EPA rD Number ( 4 0 8 ) 927-9321 27-9321 <br /> llS� I I <br /> 7 Transporter 2 Company Name 8 US EPA ID Number <br /> 9�J Desiangied rac�tty Naris qnr�5ife AddRsGs 10 US EPA fD Number A Transporter's Phone <br /> f 1fIUU 11 II 1 <br /> B Transporter':Phone � <br /> liar kr,ad rr / a <br /> ,cr v1 lle , is c Facili(707ne <br /> ) 451 -3276 <br /> 12 Container11 <br /> 11 Waste Shippin Tatal Un <br /> tNamo and Descn non <br /> No Type QuantityWt Vol <br /> hydrocarbon -impac, tec sell , ACCEPT 3# 011 E 5 15 yiI <br /> WEICsHYASTER CERTIFICATE yip _is �pgrNz <br /> tiiS IS apler T(CERTIFY that comment ag rnlh following d89W66d Section 12700)of DNis�5 off the CeN��Busmese emend or Pralessied by a wo�4"tone CorfuEby�he�irierbn Messuiarnent Stendnda d the Callorttie DeParlrnant F�aod enpd Ag=rbYe <br /> C IC.i:E C NO- s 76794 <br /> Tia [ t, iilt ,f Ue le lapinent Cts. 1)il� C DEC 1 , 1993 <br /> WeiH'.y [Rd. Vace ViJ le, ! ,{. C0niM0d3.ty .G-301L <br /> L!_r 11Un It <br /> I t I ILI RCAL- !v (� <br /> � rr�Ll I 1 -Total Chat-ges; <br /> ff t# Tend -ed $0. LAO <br /> V(tCli�l� +� 1 963 1 -0IL.11/W Change : $0. 00 <br /> tk 1 {_i <br /> L30TL 41 uta 11>a <br /> T <br /> 19240 (M) C,t a ,�a � ylit L-bs. - <br /> Ei7i3rZ+ I .rt. Lbs. t� <br /> alu4E�� Ni_ t tit 1 Ljht� Lhs- f��aNUY HALL <br /> 1 i t♦J i i 1 i t 1 : /'1 y`+ `G S• r i u c k DEPUTY WEIGHMASTER { <br /> 15 GENERATOR'S CERTIFICATION I certify the materials dercribed above on this momfesi are n t su 1 regutotrons for r"aing proper deposal of Hazardous Waste re� <br /> Printed/Typed Norge Signature Month Day year' <br /> Aijj11L ror iMTd Cal Leas-ing 12 10 ! 133--- <br /> 7 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> R <br /> A Print Nrame' /// Sign are 7 <br /> $ _ ! -�^STI' <br /> 18 Transporter 2 Acknowledgement of Receipt of Materials it ;x <br /> TPentad/Typed Nome Signature Month Day Year` y <br /> E a ' t <br /> R rE <br /> 19 Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> 1 --- <br /> 20 facility Owner or Operator Certification of receipt of waste materials covered by manifest except as noted in Item 19 <br /> T 1 <br /> Y - <br /> P /TYPed Nam / ig Mont y m <br /> r (/ <br />;; TRANSPORTER #1 <br />