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TPS Technologies Soil Recycling - <br /> Manifest Non-Hazar ous Soils _ Manifest <br /> U to of Shipment: Responsible for Payment Transport# Muck# Facility## Given by TPS Load <br /> Generator #10 14 <br /> Gt ncr to TRAMA tllinzANC-s4 Generator 5 Phone# GcriLrator s US CPA ID No ` <br /> . (209) 583-5545 <br /> 525 WEST THIRD STREET Person to Contact <br /> TERRANCE FOX m <br /> HANFORD, CA 93230 USA FAX# 209) 5$3-3282 Custorr10�2367ber with TPS 4 <br /> Conculhint s Namc-ind Billet Address Consultant s Phone# <br /> HORIZON ENVIRONMENTAL t (916) 939-2170 I <br /> 5011 GOLDEN FOOTHILL PARKWAY Persoa <br /> SUITE 7 VA�' BARKER <br /> EL DORADO HILLS, CA 95762 US FAx# Custon,erAccountNumb wtthTPs <br /> ( 916) 939-2172 4HORIZO <br /> -4 Generation SltL(Transport from) (narne&address) Site Phone# BTEX <br /> BEACON STATION #1-641 „ (209) 583-3247 Levels <br /> 1210 EAST HAMMER LANE x PcrsontoContact TPH <br /> Q JERRY ,UNRUH Level <br /> y STOCKTON, CA 95210 i US FAx# Levels <br /> c (209) 583-3282 ,SJ <br /> -T` V Detiignated Facility(Transport to) (pante&addri ss) Factltty Phone# Facility Permit Numbers . <br /> o TPS TECHNOLOGIES INC. (510) 235-8778 sem` <br /> 20 RECYCLINGLANE Per50contact ° <br /> � ` on Rice/DoMurashima <br /> 0 <br /> RICHMOND, CA 94801 USA <br /> FAx# (510) 231-A154 <br /> c <br /> Transporter Name and Mailin Address Transporter s Phone# Transporter's US EPA ID No r <br /> LUTREL TRU KING (805) 399--0246 1 <br /> l ] � <br /> 6315 SNOW ROAD Person to Contact Tramsporter s DM No <br /> HERMAN <br /> BAKERSFIELD, CA 9330$ FAx# Cnstom,jltitcU>iat-N Ebery thTPS <br /> Description of Soil Moisture Content Contaminated by Approx Qty Description of Delivery Gross Weight Tare Weight Net Weight ` { <br /> Sand ❑ Organic❑ U-10% ❑ Gas ❑ <br /> Clay ❑ Other ❑ -o 1310- ❑ Diesel ❑ t n[i I l f=0 0-7 <br /> 20'yo-over ether ❑ "�i <br /> Sand ❑ Organic❑ 0-10% ❑ Gas ❑ ti <br /> Clay ❑ Othe< ❑ 10-20% ❑ Diesel ❑ <br /> 20%-over❑ Other ❑ 1o <br /> l.isl any exception to items listed above <br /> � 1 l <br /> Generator's and/or consultant's certification IIWe certify that the soil referenced herein is taken entirely from those soils described to the Soil Data , <br /> Sheet completed and certified by me/us for tht Generation Site shown above and'nothing has been added or done to such soil that would alter it in , <br /> any way 60141-1MMA2 <br /> Print or Type Name , Generator ❑ Consultant ❑ Signature and dale Month Day Year <br /> 96 <br /> Transporter's certification I/We acknowl a receipt of the soil described abode and eertrfy that such soil is being Delivered in exactly the same ; <br /> ocondition as when received IIWe fur the certify that this soil is being directly transported from the Generation Site to the Designated Facility r' <br /> y without off-loading,adding to,subtracting from or in any way delaying delivery to such site <br /> t'nnt or Type Name Signature anddat Month Day Yearl <br /> Discrepancies V, t <br /> c <br /> LO s <br /> rs< I <br /> Recycling Facility certifies the receipt of the sort covered by this manifest except as noted above <br /> Print or Type Name Signature and date t $ <br /> aCheran L. Rice/Don S. Murashima <br /> i <br /> Please print pr <br /> TPS INVOICING COPY%, , <br />