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p <br /> I ai6 . I. a q �O -7i <br /> ill'Ila, u \aoC) <br /> VOL r" <br /> via- <br /> NON-HAZARDOUS WASTE MANIFT —DSC 17 2013 <br /> C-& <br /> lease pool or type (Form Oeslgre f for use on elite(12 pitch)typewriter) 17 1351D4 e7 <br /> NON-HAZARDOUS 1.Generators US EPA ID No Manifest 2.Page 1 <br /> WASTE MANIFESTOccurrent N <br /> CAD9$1390073 Shi 0998$ of <br /> 3.Generators Name and Mailing Adtlress <br /> STO.'KTON SEP.VI,:E LITER <br /> 4040 %EST LANE, STOCRTON, CA, PGFE- IIANIFESTS PO BOX <br /> -45204 7640, SAN FkANC:IBCO, CA, <br /> a.Genemtor's Prone( 2091 3378902 <br /> 134120 <br /> 5.haul orier Philip <br /> Philip 1 Company Name 6. US EPA ID Number A.Slate Transporters ID <br /> West Industrial service CAk000177537 B.Transporter 1 Phone 800 321-1030 <br /> ].Trarlspprrarp Company Name..t/ff 2...heN e. US EPA ID Number C.Stale Transporter's ID <br /> ✓/ <br /> nl2nl <br /> D.Transporter 2 Phone <br /> 9.Deslgnaled Padmy Name and Site Address If 10 US EPA ID Number E State Facilitys ID <br /> C of Rancho cardoVa, LLC <br /> 11855 White Rock Road F.Facility's Phone <br /> Ranchu CurduVa CA 95742 CAD920-084183 (916) 351-09+x0 <br /> 11.WASTE DESCRIPTION Containers 13, <br /> Total <br /> No. Type Quantity <br /> a _>N BA2ARDOUS WASTE SOLID (FIRER CABLE) <br /> 001 DM � 10 C <br /> Uuivereal Fla_ - LampO (Circular Fluorescent Lampe) <br /> 001 CF /Q <br /> UNIV :kSAL HASTE- LAMP(S) ((__'OMPACT FLUORESCENT LAMPS) <br /> 1 <br /> 11 <br /> 001 C'F � <br /> UNI'JER=AL WASTE- LANP(S) (FLUORESCENT T,IiIET TUBES) y�y, <br /> o <br /> L"Anal 01huwr0uens ler Material,Listed Au,,, )I.Handling CO 7 Wastes Listed Above <br /> 0, e9 {0Ywt - �Lq 'kLCAC IK �S <br /> i:Nt' P CO3 " ) -4 L'Q%`c4 - ykl NI�1► 111 , N1�1 , N1�11 <br /> ties c0 YN ► "A �I`11 `6 � � - y y <br /> IYp11Ya n r)siar� �hrryhln:n l �;y��rrd) <br /> Ek i 24 HOUR aERCiENCY CONTAL-I': <br /> 6� _ Wear <br /> itective Clothing ated EYeWlli PROFILE: (1 ) 492190 v1.p0; (2) 49 ti ,p1; (s) 4Slts <br /> 001 14) 491E-1 v1 .00 GEN! has the appropriate <br /> permitS frjr, amd illidl accept <br /> d I <br /> MTOii'f CERTIFICATION:(IWrety randy Ural g>c ulltenl6 vl uxy 6hlpnleM arq,lyW�K;(�,�A d <br /> yNrr o004)(111 kw trarlapoo Tice fnalyru,lc yeK l ad al(Pug nren%ssi are no,WLj Oebait�eand are In al)rasppcts <br /> 16T.H1`,(1L�� es wa <br /> 40ub West l.n CA P6 a0 a_� 31 <br />