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r <br /> NON - HAZARDOUS WASTE MANIFEST <br /> PROFILE NO ; <br /> i <br /> 1 800-458 3036 <br /> ❑ BAKERSFIELD ❑ YOLO ❑ PHOENIX <br /> NOTE: This farm to be in lieu of the Toxic Substance Controls hazardous <br /> waste manifest To be used for NON-HAZARDOUS WASTES only <br /> ------------------------------------------------- <br /> Name %a• & hRS• i•`AINLE.L SANCHEZ <br /> a: 1633 W. WALNUT <br /> O Mailing Address <br /> W City/State/Zip STOCKTON, CA <br /> LU 209-464-1291 Contact ZiARY SANCHEZ <br /> Phone No <br /> } Date <br /> us Signature X 2' <br /> C111 411 /7 <br /> W THE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 100%NON-HAZARDOUS <br /> H <br /> aWaste DescriptionMONITORING WELL SAMPLING <br /> 2 1$76 COUNTRY CLUB BLVD. , STOCKTON, CA <br /> O Generating Location <br /> M Handling Instructions <br /> Quantity <br /> /Lr 0 C I BBL C-%7 GLS C I YDS L TONS <br /> QONTAINER TYPE C-XITANK1 GK. L' sAP TRUCK C ]DRUMS G ]BINS C 'OTHER <br /> DESIGNATED FACILITY : <br /> NAME SEAPORT ENVIRON:9ENTAL SERVICES ADDRESS 675 SEAPORT BLVD. <br /> CITY/STATE/ZIP REDWOOD CITY, CA 94063 PHONE # 650-364-8154 <br /> taPr"`' <br /> W TICKET# 1 Z7 TRACT/TRLR# <br /> I_ MP VACUUM TRUCK SERVICE <br /> cc MP ENVIRONMENTAL. SERVICES, INC Bin No's r <br /> 3400 Manor Street Signature <br /> 0 Bakersfield,CA 93308 Date z Q <br /> Z .8051393-11511 PN DATE 04-1c,—c� Job# <br /> a <br /> Name SEAPORT ENVIRONhENTAS SERVICES Disposal Method <br /> Address 675 SEAPORT BLVD. ❑Landfill Other <br /> r <br /> ,j City/State/Zip <br /> REDWOOD CITY, CA 94063 <br /> U am <br /> Phone No _ Time Pm <br /> Discrepancy <br /> L D <br /> Signature ate <br />