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NON-HAZARDOUS WASTE MANIFEST <br /> Pleaaa print or type {Form dealgned Ior uare on skis J12 plichi typevrtterl <br /> NON-HAZARDOUS t r,arw razors US EPA ID No. Manifest Page t <br /> WASTE MANIFEST CAC`00'7769415 "°"""'^ <br /> 3.Geral_!_rya Name and Madin3 Ad&oes ._ <br /> Levan!-BriahtTrust <br /> 3 E_i i th Street <br /> Tracy,CA95376 <br /> :.Generuk.c phana 1 209-969-4709 <br /> 5.Transporter t Corrgany Nara? G. US EPA 10 Nrmher A.State TransponWs ID <br /> Mewed Chemical Trans poft Inc.(SN4 C'AR000070540 S.Transporter 1 Phone 408-Sa-5050 <br /> 7.Tranaportar 2 Co"any Nemo B. US EPA ID Nwrbor C.6tato TmncC,ripe%ID <br /> 0.Transporter 2 Poor <br /> 9.Designated Facifiy,Name and Six Ad.ar3s 10. US ERA to Nwriber E State Faclldyg 10 <br /> Adverroed Chemical Transport,Inc.(Mcd) (' UN336454 <br /> 265 Riggs Aye F Fitatys Phone <br /> Mixicedr CA953.4S 209-722-0228 <br /> tr.�;a«.S'tE DE5Cauo-y-ir,N Gontaitwns 13 :a <br /> Toter Unit <br /> No. Type ousnbt. A'LUaI. <br /> NON DOT REGULATED MATERIAL,L}QU D <br /> � TT <br /> G <br /> E <br /> N <br /> E <br /> R <br /> A <br /> T <br /> O _ <br /> R d. <br /> W <br /> G_Additional Dexrgtlorms for Maledals Listed Above H.Hantlllng Codes for Wastes L-612i Abrrna <br /> Q P rAect Number 49078 <br /> 1)Ei2G1>?;AGT29933 LEA �V r T�.tC) <br /> O <br /> CC f.a.Spc,ol Hemline Irstrjci m ano«dGCanal Ini;.-nnt�m <br /> Q <br /> N <br /> S <br /> Z <br /> O r <br /> 15,0ENERATOR'S CERTIFICATION:I hereby o`rt fy that the intents of tilis shipmtml are fuly and acwra.tely described and are in all msow- s <br /> n proper condition for transport The nmtetiats d8scrlbed on this manlleat are not eut>{ecr 10 lederal hazardous waste regulabcim <br /> Delo <br /> Ptinte 'rWed Jame r' r—t ` ^ �}[-A t 'Jaw <br /> T 17. Transporter 1 ALknbafed•Jernent 01 Afi_-ipl of Mallet We D;'Ir• <br /> n <br /> A S.T d Mune = 4taar! pay •r' <br /> N <br /> P v—�_ <br /> D 18. Dale <br /> . 'ramEportar 2 Arlen dgp3omont of R¢caipt aF rdatervil <br /> R <br /> T PrintrxbTlped Newine Srgnalure Ateukh pay YMf <br /> E <br /> n <br /> 19.D7Y�repancy Irdcahon&pats <br /> F <br /> A <br /> C <br /> L20.Fdahtj 0•,mner cr Operallx.Carldication of revW df the wavlo mawinsials roverod by this rrmnilast,tmeepl as noted in Itwn 19. <br /> I Elvibe <br /> T raay Yea. <br /> GF 14 02002 LIBELMASTEAm (800)621-5808 www•lab®Imaster.Com <br />