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NON-HAZARDOUS WASTE MANIFEST <br /> Please Drml a type jFo^a des�gnep Idr use pn elle l,l'<Pi1Dnl Yp'nri!er, <br /> NON-HAZARDOUS 1.GeneraWs DS EPA SD Nd manilw' 2.page-1 <br /> WASTE MANIFEST i CAC002250073 Ddcpmenl tl` pl <br /> ^.-Genaraw,s Name a 4 Maung Addr <br /> Gesscke � I <br /> 420 Cherokee Lane Ste A <br /> Lodi. CA 95241 <br /> 4.Generators Phpne(2 09 1 333-45 55 <br /> - Ten" <br /> 5. ner' spo 1 Co mpamy Name e Js EPA:D A.Slaw-, ID <br /> Advanced Che>sical Transport CAR000070540 a.Tlanspcner:Pw. -� _�R <br /> ].T®nspoder 2 Co parry Nerve e. US EPA 0 Mumbe, a State Lanspcnei s fD <br /> D.Transpose:2?hone <br /> 9.Designaud Fac.le,Name and Site Ae&et 10 US EPA f[•`d:n`.e: E.State Faa6n s fC <br /> f <br /> ''"heroical Waste Hanagemert CAT000546117 <br /> 135251 Old Skyline Road F.F.vleY*Ptee <br /> iCA 022.19 559-386- 11 <br /> 11.WASTE DESCMPTION 12. CDnniners :3., Ural <br /> Ut<. <br /> hb. Typo sst• Ural <br /> 6 a. <br /> 1 <br /> `..:.:.:;i Nan Hazardous Waste, Solid / - / 5 O P <br /> 9 i (Q <br /> fE b I <br /> (N ' + <br /> iT I i <br /> T <br /> O <br /> LI <br /> R ° <br /> y �9 G.Aa54"Bf Gesagtcw s for Melon. Abeve I N.HaMlmg Codes fw Wastes Lm=Awve { <br /> r <br /> d �€£�' 15.Spenal Fwrtdb!:4 fnsm:a:pnsPM I10W:mr�l:nt D:manan t <br /> f Praj ect Number: <br /> mw <br /> ~16.GEN TOMS MPIMFICATIt Ihe:eby:.esay fiflt the pDnM-tsd Osis snrpmemare 4Fv andacc ret,deurAe6 ono -- <br /> fi: II piOper CIXditwn tw n3.span •z rzfcrals descTh On dl a/'ar:Gebt ar.w s'bjeet tp Se°emI M1a, :dnus wane reg.l t',r.s <br /> f <br /> Date _ <br /> +�, PriMaQ"Y N <br /> Ei 7 17.Tmnsp&tar 1 Adrow wgantma W Racmea N Uare u Dale <br /> ±6R. I ?riruerLTypero Nana t S'9naN:e / <br /> Mon/h Day YeL �ii <br /> N I�7w.awv St�J,a �� O tx- D7EZ2 f f o t <br /> P ,rem,9 fieceipt ai MatetWs <br /> lO t 18.TraruVnrter2 ArtuaMe°9• Dale <br /> t <br /> R +— I Saa::e A(pnU OaY year <br /> f R I Pr nled/ryped Name <br /> E <br /> �Rf — <br /> 7 t9 Ltisuepan ymdi aacnaSr <br /> IAI <br /> + 20.Faciity D'xntt nt CperF.u.'inYifmat of rec pl'Ji ba xsste malenab covered by?u rru-mfg.�xcapf us nDRtl m:fem 19. <br /> L Dale <br /> +, <br /> T Monts Da• Year <br /> Y <br />