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No '798013
<br /> M1r NON-H v
<br /> .rtvG- ARrs IN STA PECIAL` ^ ;j
<br /> uSTRIEs , US S r �WASTE.}MAN 1 FEST
<br /> Stockton ' '
<br /> GeneratorN r gankyof" = . 4 � " +fit .- ��",". w _,. . - _. .
<br /> c1 amwe Dabka s�istt"ibuting
<br /> i_z. n G]♦ s
<br /> Generating Location
<br /> Addressy r - 1 1 4 9 W. 'tdeber
<br /> Address
<br /> K
<br /> 2 - Stockton.' Cb_ 95209
<br /> Stockton , Ca
<br /> 2 0 3 4 1 1 3 S
<br /> Phone No.
<br /> Phone No =—FT-T7-FT-F-1
<br /> 13Fl Waste Code
<br /> I � 1
<br /> DeSCrI tion of Waste ContainersqD-D
<br /> Quantr Units No T e
<br /> Diesel Contaminated Soil rn �
<br /> I 1 3 W T
<br /> i
<br /> _ 0 = 0
<br /> r = 0- ❑ (�� �
<br /> ' I hereby certify that the above named material does not contain free liquid as defined by 40 CFR Part 260 I
<br /> J 10 or any applicable
<br /> state law. is not a hazardous waste as defined by 40 CFR Part 261-or any applicable state law, has been properly described,
<br /> classified and packaged, and is in proper condition forttra sportatio according to applicable reguiationsi
<br /> t
<br /> Ronald K- Rinehart
<br /> (isnerotar Authorized Apert Naw EEY
<br /> -
<br /> t Sign aturo r - _- 4 , _ a
<br /> ""--+rj Shlpm9nt Dale
<br /> vim` ., �...,, ` • •
<br /> ' � N"•a -y'1�'r $l �ti•' S '`fxr,
<br /> Q y
<br /> Truck No. ,�
<br /> L }!� f1b� 4t!tr rY r
<br /> k'�Tra
<br /> +�+'� �'`. x, Phone NQ. �ns ^Frier Nacos-M" Pc Er��rironme ntal `�Ser�rl cesc lit��
<br /> +!* ter•*xFHi �r�llr YrY�*y{ i f_ Ur�VerNamer�Print 4
<br /> Address :3400' -.� ,�}o,�, � �6�
<br /> , '( +�r� w
<br /> ,. tt ,�+ a Lic State '.
<br /> Vehicl ansa NoJ
<br /> . Bakar•si� dra 'i E933Li$, � '"sg ���.`�•�yx
<br /> + „ _ „tis' : ,-r b
<br /> FVehicleCe_rtification` 0a�-3� `" t =ice`�` •ri: F'
<br /> 1 here certify that the above named rn erial waspickedu -lVhee '�Y
<br /> ,, ,
<br /> M k4 ry Wr�.w..►w. t�v .+I r.'-�• '�Ji-^ Y. t'�y QCT
<br /> at the generator site listed- « w y certify that the above named material was delivered with.
<br /> out incident to the destination Ilsted beloww'' � .-
<br /> r � II _ ,"'�•4 r i+� t�r• N�` sem, _ c
<br /> i���c ,sp. Driver sl '
<br /> -,R -✓ o"z`�"r r - Y,3'�"`.� .w,Ytr'7Fa�'�y�tnj°ti'��3., � , Dsie M
<br /> tte NameVasco�Roe d+ SanitaL';" df
<br /> _w%-,w':`�``.. sX-���r'�i'�•r;a[t'r:'r��rK`�+.J- ^,�,.;+.�';� g 3'ut....5, r � ^'R�te�'Y��r�rtf�rm.-Fp�g'Y.u¢�w�-.��•�.�F`.�y7��'+ ..� �
<br /> Phone NO
<br /> sS 1dreVasco a #Wc � v ^ {3> +
<br /> 9_
<br /> ate•
<br /> ^`,r 1. z S' H Y
<br /> ani that �" `` ` ' x
<br /> I hereby}c fy at the above named has De n a s be -
<br /> `;� „��, `=`. >iLi< accepted and to the st of my knowl~dge the foregoing is true and accurate
<br /> � �' z , rate. '
<br /> Y ;..yL,Wit. .._,. +.. �r v .�i ,F y 3. �za� .. v� �"� in � '� w � _. 'S '�.,.y.. r f fir! ' ,y S rf'a��-5�'i-='�,y�`• + .4; -r t r i.
<br /> uthorixedA
<br /> " al r.1t, • '. - ' '� , �''�_.' ,'';' a" r r r' c.a s;." J -: y Hem" t Date
<br /> „ �.i '' a "',frL•i i��y�.�,.• �- 4"� v �'t«+ � �' 7 r,.-c4`.� —rF i1 �'i S,���r� "ti.�?' w`.•;L•a ..t' r ,�,..
<br /> e _
<br /> PASS CODE ^
<br /> I— � ,�[-`' •.� �f S_� }f Y V!?��r 4- C ,�',"iy ��.�y,�Lr , :�_•� '1i -r �y y+ty� _~� gli w -,.�M, {�a��S i �. ,,'.+�+�h~;' a t ^
<br /> Y ori ? W { 'w s._.^ *�. , r"f i�'- w 'd"i c 4 ' .� ., i » 1 +.�3-.....i�r.....L.. v • - (3i=126�720
<br /> �'T�fi �41��ti"^r.�«� r3,..M'�`i • t� �� Zia '' ♦ >'f" s �4 ,� .:l� � �e r �"'r ....i'" . ;��,f t,vr y� -+i-� '
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