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NON-HAZARDOUS I Generator's US EPA ID No Manifest 2 Page T y <br /> Am WASTE MANIFEST 0Datrum2entffa9 of <br /> IlMineraicir's Name and Mailing Address Advanced GeoEnvironmental <br /> SITE@ VANCO Truck&Auto Plaza 837 Shaw Road a <br /> 1033 W. Charter Way <br /> STOCKTON CA 95206 STOCKTON CA 95215 l <br /> 4 Generator's Phone209 467-1118 <br /> 5 Transporter 1 Company Name 6 US EPA ID Number A Transporter's Phone <br /> SLABY ENVIRONMENTAL INC. N/A (760) 767-0776 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number B Transporter's Phone <br /> 111E <br /> 9 Designated Facility Name and Site Address 10 US EPA ID Number C Facility's Phone <br /> L&D Landfill. <br /> 8635 Fruitridge Road a <br /> SACRAMENTO CA 95827 C A L 0 0 0 2 7 7 7 6 7 (916) 737-8640 <br /> 11 Waste Shipping Name and Description 12 Containers 13 14 <br /> Total Unit <br /> No Type Quonti Wt Vol <br /> ° NON HAZARDOUS WASTE SOIL <br /> DM0' 2 9 7 0 P <br /> b <br /> f <br /> R � <br /> A c <br /> r <br /> d <br /> } <br /> ddittonal Descriptions for Materials Listed Above E Handling Codes for Wastes Listed Above <br /> 1 <br /> 15 Special Handling Instructions and Additional Information , <br /> Emergency (24 Hour) Phone# (888) 701-6600 <br /> ** BILL to SLABY ENVIRONMENTAL *** For Disposal <br /> P. 0. Box 903 <br /> BORREGO SPRINGS CA 92004 <br /> 16 GENERATOR'S CERTIFICATION I certify the materials described above on this manifest are not subject to federal regulations for reporting proper disposal of Hazardous Waste <br /> Printed/Typed Name Ssgnatvre Month Day Year <br /> 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> Printed/Typed Name /t ,,�,�/ Signature th Day Year <br /> P 18 Transporter 2 Acknowledgement Jlof Receipt of Materials <br /> Printed/Typed Name Sig tura Month Day Year <br /> 19 Discrepancy Indication Space <br /> 1 <br /> 1 <br /> L whty Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted in Item 19 <br /> Printed/Typed Name Signature Month Day Year <br /> i <br />