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� � Y <br /> NON-HAZARDOUS i Generator's US EPA ID No Manifest 2 Page 1 rt <br /> WASTE MANIFEST �a` 1e�t�3i of 1 8/9/2004 <br /> i 3 Generators Nome and Nlaihng Address <br /> Slaby Sales <br /> P O BOX 903 <br /> B�RREGO P, �NGS, A 92004 <br /> 4 enerator's one 888 701-6600 <br /> i 5 Transporter 1 Company Name 6 US EPA ID Number A Transporter's Phone <br /> FILTER RECYCLING SVS, INC -NO C A R 0 0 0 1 2 9 3 4 1 (510)670-9901 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number B Transporter's Phone <br /> Filter Recycling Services, Inc. A D 9 $ 2 4 4 4 4 8 (909)873-4141 <br /> i9 Designated Facility Name and Site Address 10 US EPA ID Number C facility's Phone <br /> Filter Recycling Services, Inc. (909)421-2012 <br /> 180 W. Monte Avenue <br />' Rialto, CA 92316 CAD982444413 148 <br /> 11 Waste Shipping Name and Description 12 Containers Total Unit <br /> No Type Quant r Wt Val <br /> NON HAZARDOUS WASTE SOLID <br /> E b <br /> E <br /> N <br /> E <br /> r R <br /> A c <br /> rT FILTER RECYCLING SE=RVICES' RIALTO FACILITY, EPA <br /> J #CA0982444481 HAS THE APPROPRIATE PERMITS FOR <br /> d ANIS VVILL ACCEPT THIS WASTE AS SHIPPED. <br /> D Additional Descnpttons for Materials Listed Above E Handling Codes for Wastes Listed Above <br /> 11A)SOIL <br /> 15 Special Handling Instructions and Additional Information <br /> Wear appropriate protective clothing VANCO TRUCK PLAZA(ADVANCED GEO) <br /> 1033 N. CHARTER <br /> 24 Hour Emergency Response # (909) 721-2038 STOCKTON, CA. <br /> BILL SLABY SALES <br />' 16 GENERATOR'S CERTIFICATION I certify the materwh described above an this manvfest are not subject to Federal regulations for reporting proper disposal of Hoxordous Waste <br /> anted/Type Name i at r Mont Day Year <br />' T 0 Transporter 1 Acknowledgement of Receipt of Materials00 <br /> A Print d/ yped Name Signature nature nt D Year <br /> N <br /> 5 <br /> p18 Transporter 2 Acknowledgement of Receipt of Materials <br /> T Panted/Typed NameR Sr naTure Month Day Year <br /> �/� 9 <br /> R I }#� <br /> 19 Discrepancy Indication Space <br /> iF <br /> A <br /> iI 20 Facility Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted in Item 19 <br /> T <br /> Y <br /> Printed/ anis Signature Month Day Year <br /> rQ � �- <br /> ��W�4_�t ORIGINAL -RETURN TO GENERATOR <br />