Laserfiche WebLink
ALTA EWROMMENTAL SERVICES, INC. <br /> Davis St_ _ <br /> `lel <br /> Mi <br /> rVaca1e, CA- <br /> �l � ( ) 768 <br /> 8 <br /> NON-HAZARDOUS *5 1 Generator s US EPA ID Nc Manifest 2 page 1L <br /> WASTE MANIFEST Not App i 1 c abl E Document No of <br /> Lz5n 3,17 1 on <br /> Generator s Nome and Mailing Address <br /> I-) � J i a t Leasing 1649 _ Channel St <br /> r' i) 13(.)^ 55103 , atockton , Ca 9520S Stockton , Ca <br /> 4 Generator s Phone( 209 465-3609 <br /> 5 Transporter 1 Company Nome 6 US EPA tD Number <br /> 1• bciu&=r le TrucI, -in, N / A (408 ) 927-9321 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number <br /> 9 Dt.srgnated Facility Name and Site Address 10 US EPA ID Number A Transporters Phone <br /> ii nrid ! Landfill , Ir-lic <br /> 8 Transporters Phone <br /> i_ 1 'b H,=%,,, k o a d N / A C Facility s Phone <br /> JuCaVI e Ca ( 707 ) 451 -3276 <br /> 11 Waste Shipping Name and Description 12 Containers 14 <br /> Tot <br /> al Unit <br /> No Type Quanta Wt Vol <br /> a N hazardous hydrocarbon -impacted soil , ACCEPT 4 01 165 16 yd <br /> YYEIGHUASTER CERTIFICATE <br /> kS IS TO CERTIFY that the lolloxirq descr{bed carmsodNwas+weigtwd measured or counted by a vierphnaster whose signature is on this ceriff"a who is a recognited aulfiaily Of accuracy es Prescribed by <br /> apter 7(commencing with Section 12700)of Dristan 5 d the CaHornla Business and Fldesabna Code ahnimstered by the Ussaston at Measurement Standards d the ColYarnls Department of Food and Agriculture <br /> id J t _ 1 1 CKEI NO. 76798 �--� <br /> 1i 3 Whitt t. IUPRIPIlt, GO. lAIL : DEC ly1993 i4 :`-tt: ;0ki <br /> Oe IIli r4 0 1'_' ( ri 11ny 13J. Vac::aV j. lJ t_, [-,R. (.(jww(,dxty .-C--S01L_ <br /> IS <br /> l'r -,/ /JPr'Yc_LlUm.t11, s 1r is 1 l VJR17AL IV ) C) L; i 11C_t I Total Charge: <br /> �1rt I endered $16. 00 <br /> 95C N7 Oljt1 o Change : $0. 12 <br /> 5I)11 It IIJ it t <br /> ?� c <br /> Y <br /> t3eli�Z0 01) (gyros-. i,l 11,it1 Lbs. <br /> � tIc00 Tare WL 1 ,IiiL Lbs. - - <br /> ��'. ,- 5zt 100 tura. U 1,.Jit{ I-k)ir. Sf114DY HALL <br /> In 13 u i t.i(1 Truck IV , :A)13 DEPUTY WEIGHMASTER - <br /> b ;id <br /> 16 GENERATOR'S CERTIFICATION I certify the materials described above on ihu manifest are n"6jes ederal regulations for reporting proper disposal of Hazardous Waste K Y <br /> Printed/Typed Nomd Signatur Month Day Year <br /> a - I.2t2l D <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials r <br /> Rn uMonth Day <br /> Pri <br /> A n <br /> re <br /> ted Name Sr L <br /> P_ g 1 <br /> p18 Transporter 2 Acknowledgement of Receipt of Materials <br /> TPunled/Typed Name Signature _ Month Day r Yen'} a § <br /> E fit <br /> R g�tx t <br /> 19 Discrepancy Indication Space f r <br /> r <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 19 <br /> T <br /> P yped Name Signatur Month y r. <br /> s <br /> TRANSPORTER#1 <br />