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TIME DATE WEIGHT, COMMODITY: HAZARDOUS ti c <br />CIH MICAL WASTE tdANAGHA1HtT17, INC. <br />WEIGIMUSTER—IS.W. <br />DEPUTY WEIGHMASTER <br />35251 Old SkyllcaRaod <br />Kealt, a Cly CA <br />GROSS: , <br />1 . ! ri I ; Ill l �;, �.r.I,� � � t • .. <br />30Q97 <br />NO: <br />WEIGHMASrHR CHRTudrATE: <br />TARE: <br />THIS IS TO CERTIFY Uad the folowig dascnbed co nrnodly <br />was welghed measured of counted by a weighmasler, whose <br />' <br />� <br />slgnslule Is on Ude tardus, who is a recognized au"ty of <br />�L 1G_U�_.�� i:bil0Jib' <br />acmracy,asprescribed byChapler7(oommenoNvlhSection <br />.1c� <br />NET: LB YARDAGE: <br />12700) ofDivision 6 of Ills Cftmla Business and Professions <br />Coda,aMidaWWbyUmDMsionofMassummanlSlenderdsof <br />Ub Calbmla DapaAmanl of Food andAgdcullure. <br />;ENERATOR <br />MANIFEST <br />PROFILE <br />SAMPLE TIME <br />Ct l l . <br />/) 11 <br />RACTOR LICENSE A <br />TRAILER LICENSE NO. <br />DIN p <br />RECRUT 0� <br />DRIVER <br />G <br />O <br />AMPLE fl <br />NO SAMPLE PER WAP M (CIRCLE ONE) 1 2 3 4 5 6 7 8 C)J 0 <br />TRANSPORTER <br />rl L.,Y <br />MANDATORY ANALYSIS I SUPPLEMENTAL ANALYSIS <br />I <br />WASHOUT METER <br />MULTIPLE LOAD # <br />'HYSICAL STATE SOLID LIQUID I PAINT FILTER TEST N/A PASS FAIL <br />FINISH <br />SEE MANIFEST <br />LPPEARANCE i VISIBLE OIL NEG POS <br />START <br />PROFILE EXPIRATION <br />H I PERCENT SOLID <br />GALLONS USED <br />TREATMENT CODE �1 UNIT!R�g <br />I <br />VATER MIX A T °F SOL DENSITY LB/G <br />TIME OUT <br />'LAM POTENTIAL NEG POS I CALCULATED QTY <br />REC. TECH. F" <br />:N' SCREEN NEG POS. PPM LWCT A T "F <br />SCREEN NEG POS PPM SET A T IF <br />)XIDIZER SCREEN NEG POS I > 50% DEBRIS YES NO <br />:AD. SCREEN BKGD POS I > 60 mm YES NO <br />INALYST I < 6.75 ft. YES NO <br />CAN MAJORITY OF WASTE YES NO <br />BE COATED ON ALL <br />I SMES? IMT <br />I <br />3012 <br />130133034 3052 064 <br />3014 3036 3053 BS <br />13015 3036 3054 3 66 <br />3016 3037 3055 30 7 <br />228280017 3038 3056 30 B <br />1.3018 3039 3057 306 3077 - <br />\ <br />X301 9 3040 3058 8070 303067 <br />\ \ <br />3020 3041 3059 3071 3079 3a'6q <br />\' <br />3Q4_ 3060 3072 3060 3089 3aQ,7 <br />D <br />228000 '•3Q61 3073 3081 3090 3098 `211g5RS <br />30623Q74 3062 3091' 309$, 31 OB �Q 13 <br />h <br />30751;A963 3092 3100.3107 3114'3,121 <br />�r C <br />30614;3093 3101.3108 3115 312 -�4,1 30 <br />3644,3102 3109 3116 '3123 3131;3139 <br />', i•. ,ir-t/41L•',-,qw'u' <br />227750 310 3110 3117 3124 3132 31'40,3144 <br />EN RWM€., L <br />31 4,,1 3118 3125 3133.3141 314U,. <br />6E_ <br />11.19 3125 3134 3142 3150 31d6 <br />V <br />3127 3135 3143 3151. 3159 <br />al a7 <br />3128 3.136 3144 3152 3160 <br />3168 31,76 <br />227500 LANDFILL TU"1VIT B18 313-3145 3153 3181 <br />3169 3176 3:183 - <br />PHASE IIIB WEST GRID SHEET <br />DESCRIPTION 3146 3154 3162 <br />3170 3177 3184'-3191 <br />bfv zylf'�S (,`C �I jf c l' 1 V'' f�f'' `� 315S 3163 <br />, <br />3171 3178 3185 31923198 <br />c:L" .np H 3164 <br />3172 3179 3186 3193 3199 3204 <br />R <br />AT (LOWER CORNER OF �RIOIBOX CATION <br />EXAMPLE: <br />3W0 <br />3173 3180 3187 3194 3200 3205 320B <br />227250- <br />3181 3188 3195 3201 3?06 3209 <br />0 3189 3195 3202 407 3210 3214 <br />IRM 8 RT/LFU 818 PHASE 111 D WHST (05/15) <br />