|
LAKW
<br /> 1.710!251928
<br /> 1111111111111
<br /> Pickup Receipt pt EDdPip 1ba'tO-' 03/09/2016
<br /> ilest: 11015792ee
<br /> EDT Tr,,p ,bog,: 55848..1
<br /> Sturm No: 036J6
<br /> �7
<br /> =tar
<br /> 0140 CENT TRACY �,.�� and sIIe9 Dae F'a�►
<br /> 940 CENTRAL ,AVE Lg,hill Tire wsYat
<br /> TTtACy , CA. 95376 18305 Spring Ave
<br /> P"10NE: 209/?21-7164 Sslnta Te Springa, CA 90670
<br /> TPTA: 1694854-01 PHONE: e00-488-2732
<br /> TPID: l000650-01
<br /> Trunk; 515784
<br /> Tzai.ler: 54148
<br /> T""Ase Number: 9E93016
<br /> .Regi mtmatiorl: 16-02366
<br /> State: CA
<br /> Ti,tem
<br /> DRMER: ASTORGA (TEMP) r AL5ERT
<br /> nestiPy rh,t und�s p9nalt of n Y I laver o: for A
<br /> a" ,,.,^;!il'llll .i {I c3h'Y•c•-iJ,�'J' r,,f, CaSiftc»1 Y 7A_,t' ui unlpt L Cnnq
<br /> .Q that T.ha 'Mformnt3.gn p27""A.Cna above 1,n f;,
<br /> le and`! rnA41Q7,tncni T nm avoan r"hf t fnl.el,(ionl;hon or thi: infnr,maY�icmemntaCC.
<br /> 9Y
<br /> r 9!1'h!„ A9ranaonr "vmau-on, yr df,n7n1. of rgnaw y
<br /> Tirn H I1;.jtr Rogl,rtration a.l. 07! SHe p..mlo
<br /> T,,,. Du., vent to p
<br /> Ublic n^n,n,iscn Godo
<br /> v4»60 and r0 gay I:A
<br /> 0. Civ.ix engll:io up h, 4A5"OUI7 ex da
<br /> R 0
<br /> •I,. ., .y.: l• dl �" ,.1;.,." ,`I 1,:�,' solation OC ndminl.�graciva P44nl,tiov n to h yt .n m
<br /> r :l oon l
<br /> ,I+,�• n I r {, ` r 1,;�6d�!1 n:, N�arribnC pos v1o.1n1::on DOC
<br /> I71(" 1l 9.n PubJ.te 1 9a�6i1.
<br /> y f '� I R077�1Caa (i
<br /> n�I !�� jl,l C+Wr ��nta.ctt n .
<br /> a Y I
<br /> Y 1 II i�' ...,1, L.
<br /> GENERATOR: JAMES C.T,AZE
<br /> 'Jtrr!IiP.,�ll„ylll�ii•.�i�� 'ijilh;ill':II,Y:�G1w'�1�!����I�';'�;;,f�{f�j?1J.Jk'i;,, "T GOrcify Che1'C und4.c p.nalty of Ges7ucy uYlUnr Eha imre of c)to
<br /> Of. CS.1l.r0)-nia thnr, rh. infonMn6jpn rowi.ded abo- etc
<br /> OOrrn.:t,'� P io frog nn/l
<br /> Corn:Cf9c5nti.al-1t.V Claim: The InformationGonsipzovidr�rr�, on thj,a form, should be
<br /> Title 14, CR,consectioal, 041Pro'm�,etar, and/o.r, trAde secret. In accordance wj.,tjj
<br /> 4�
<br /> Title 19, CCR, Sect�Oly 17041 mt„seg, sl1ottld any Mgmber of the pttblta requcat
<br /> ca �, divalomure of this information, 7 reQuest that Ca,lRecyclF contact
<br /> addrmpa and tc;lOphlone n1imber a,brnro. Me at the
<br /> ri.ectron."(c Aep.ox'ting to CaIP4' cycae: Dakin Tare Wtst ham been authorized by
<br /> CalRecycle to pct,rticipate, it the waste at�d used Tire r7e,nj.fest EDT e7,ecL'rona,c
<br /> reporting program On behc�9, of the customer 3i9ted on this form, Lakin Fire
<br /> We-"t will rani ehmt. ronias,llyycl tbAnsmft 'to Ca1Re:cycle all z'ecpalred information. from
<br /> this m.pniPP_o'C. Ca],RoCycle h83 apPzMled turd Lakin Fire West ,taAT r"otm, for twee
<br /> within the %Aste TiXg Mani:I!nat Syst1,ln Ft pLakinm.
<br /> QLtestio�,,p, Pleaat contact y0t.),a' Custoz;.h
<br /> cord. 5erv9,ce Reprmtlentatiue at 800-488-9752 or ems i_1
<br />
|