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ALTA ENVIRONMENTAL SERVICES,INC. <br /> _=V ravi5 y-_ __ -- - <br /> ?, - - - <br /> fi*vrd I:fir + <br /> M MNMI <br /> (800)784-2768 <br /> NON-HAZARDOUS ��� "Generators US EPA ID No - Manifest <br /> 2-Page"I <br /> T Do <br /> WASTE MANIFEST Not App1 C. a b I t of <br /> lull <br /> G,.nc.roior's dame and Mailing Address <br /> fs'I3 .j Cia LeUs�rtg 1649 E Channell St <br /> Bo K Lj; 103 , 3tockton , Ca 95213 Stockton , Ca <br /> 4 GenLrotor s Phone{ 2 0�9 465-3609 <br /> 5 Trans@otter 1 Co pany Name G Pd US E A ID Number 4 } 927-9321 <br /> F ticrflE r'�'ta Truck-Ing <br /> 7 Tiansporier 2 Company Name 8 US EPA 1D Number <br /> 9 DwUnaled Facility Nome and Site Address 10 US EPA ID Number A Transporter's Phone <br /> b a,ri d J L a n d f 1 1 1 , Inc B Transportefs Phone <br /> �) t t) H d y k on d N / A C Facilitys Phone <br /> Vnc ,vIIle , Ca r (707) 451-3276 <br /> 11 Waste Shipping Name and Description 12 Containers 14 <br /> Tot <br /> o! Unit <br /> No I Type Quanta Will Vol <br /> a Nt'JI hotardOUs hydrocarbon impacted soi 1 , ACCEPT 4 01165z M 16 �/d <br /> WEIG I LISTER CERTIFICATE <br /> iIS IS TO CERI IFY that the 1 desarbed cartar,odRy was waigted Treasured,or counted a waighrnaater+Mone signahaa Is on this oartlicate who Is a ed aulh°ritl'rf�marif dFood as <br /> dr+q�urree <br />,spier T(commencing with Section 12700)d Di,�ion 6 0! M California Business and professions Code administered by the Division at measurement Standards of the mom1s Dopa <br /> 1Jelllltm �� moi- : <br /> TICKET NO. 11 761305 '1 <br /> T,,, ( ,,isl,ty irevt lupfllettit Cp. DATEc DF-C' 1, 1993 15.cF3a37 <br /> Wet �l,, ,l +� t �i`1_ }iuy Rd. Vacaville, Ca. CommariLe/Un3tIL ' <br /> i <br /> �11itAI . 1;.j , I I' iG� UTtis <br /> Fl i I I } 11 /11014 14HRI',01- <br /> r. l Fll..1_ i• 11 TotalC�1Ife2Y'L�f?: <br /> qI ` Tendered : �0• 00 <br /> S� Clianl e : 06. 1r o <br /> \ 95L8/-QIwc+I/JL! S <br /> w„]ii t, VIJ 1lr.r <br /> �j f�4 1 f41[t`t�I1 l M) V i”o a:, t}f' ) U h t Lbs. <br /> - <br /> �slLti�s�t tv Uk- 1U4ht Lr]5 <br /> �,tclkl�>l' I IL?L W,- i-ill i L 1_b5 5AWDY HALL <br /> Itr}. <br /> 'Ir, ��l >�,� DEPUTYWEIGHMASTER <br /> ftifiltit i ;.r�'tIJx�rl�f' i 5. LY" ff li <br /> 16 GENERATOR'S CERTIFICATION 1 certify the materials described above an thismfe are not su to ledera rip tions for re nq proper disposal of Hozordous Waste `+r <br /> e <br /> Printed/Typed Name $ignatu Month Day Yeo' ate' <br /> Atlef.t ror Mid Cal Leasing 112 1 a1 93 <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials t <br /> Printed/Typed Na Signatur h <br /> IN G "p''� �S'� Ye <br /> A a-c-c ;� <br /> NS <br /> P 18 Transporter 2 Acknowledgement of Receipt of Materials <br /> R -- <br /> Month Da Yeart '` <br /> E Printed/Typed Name $ignafvre Y M�_ <br /> sx <br /> 5 ' <br /> 19 Discrepancy Indication Space <br /> F � <br /> A i <br /> � I <br /> 20 facility Owner or Operator Certification of receipt of walte materials covered by this manifest except as noted in Item 19 } <br /> I <br /> Prrr /Typed Nam Signa �y nrh Dar <br /> TRANSPORTER#1 <br /> d 4 � <br /> 'k <br /> t <br />