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AL fA ENVIRONMENTAL SERVICES.WC. <br /> _$31 DavIs SL <br /> �4�p - - - - - - V» rlN0q-.rCA9Q�a�687=—=-= <br /> NON-HAZARDOUS 1 Generator's US EPA ID Na m Document No 2 Page 1 <br />' WASTE MANIFEST <br /> 5 Generator s Name and Ma, <br /> kmg Addie s <br /> 4 Generator s Phone( J <br /> 5 Trq,ssporte��ompan�ame ./5 6 L N_EP(1ID umber �l /� a-7 r I <br /> 7 Transporter 2 Company Name 8 US EPA ID Number I <br /> 9 Designated Facility Name and Site Address <br /> 10 US EPA ID Number A Transporters Phone f <br /> 205 c_4 _-r � t.,J B Transporters Phone <br /> L' IL, 446-� 1 j� p C Facility's P e <br /> 1,Jf-C-41-01 77 <br /> 12 Contomerft 13 14 <br /> 11 Waste Shipping Name and Description , ii% Total Unit <br /> No ! e puantt Wt Vol <br /> WEIGSHMASTER CERTIFICATE <br /> 1 i 11S IS TO CERT IFY that the todowma dewAbed commodity swan welpfted rtsaasaed or courted by a weighmester whom signakwo Is on this aerttilcate who is a recoMizod authority of accuracy as prow-rib9d i ' <br /> Chapter 7(commencing vAth Section 1270x)of Division Sol the California Bussnim and Aroleaaioto Code adninalered by the fste <br /> at asamment Standards of Ihs California Department at Food an¢Agriculture <br /> :' : �5 �' <br /> ,FI <br /> TICKET NO. t 76'1131V <br /> WeJUt, i i <br /> `Y - t �, r„k y f)E vc l okslent Ca. DATE: DEC , 1, 1993 151s5_,bis3 r , <br /> 4f�rlulrFif td ti 6 flay Ind. Vacaville, Ca. l:plltmadlty :C—SUIL ► a <br /> Price/[Inst <br /> f1 t l i ' f lt� l it1r1 t 1t1f2CI�L { / <br /> fatal Ct-tar^9e= <br /> t Tendered zii1. IsEI <br /> vtut d _ Change ; <br /> 'A111 It o l 1 Is' , <br /> ��� � 7cP900 (11) Gros, tl, z tflit Los. t <br /> s - - <br /> 30840 - Fdtre Wf_ t Lilit Lbs. - <br /> ' I �l 49060 kdeA We 1 <br /> t 31 L bs. SNNDY HALL <br /> Inb P <br /> - <br /> r t U-1 t iia C s. 6 0 C_ DEPUTY WEIGHMASTER <br /> 16 GENERATORS CERTIFICATION I certify the motenals described above on ibis manifest aro nok subiaA to federal i6gAtions for jAng proper s owl of Hazardous Waste <br /> Printed/Typed N � w Srgn Sr� - - 81 ' e yI <br /> �]c <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials - <br /> A Pn d/T ed N m gnatar V <br /> IS We �� <br /> P _ <br /> O 18 Transporter 2 clsnowledgement of Receipt of Materials <br /> TPrinted/Typed Name _ Signature Month Day ^Year <br /> E <br /> R <br /> 19 Discrepancy Indication Space <br /> 1 F <br /> y A <br /> 1 C - <br /> L 26 Foulrty Owner or Operator Certification of recer t of waste materials covered by this anifest except as noted in Item 19 <br /> 1 ' <br /> YSignatur Month oy y <br /> Prerit ped Nam <br /> 5 w <br /> t TRANSPORTER #1 <br /> jv <br />