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Il 08712/2009 .11:52 4084339571 - IWM INC ` v PAGE 02/04 <br /> WW, Inc. <br /> M1EuFmTdb WA3TC3TReAM MAN"EMEM,Mc. <br /> 7945 coNCOuRSE DRNE.SAN JOSE,CA 95131 <br /> PHONE:401.433.1990 FAX:408.433.9521 <br /> CERTIFICATE OF DISPOSAL <br /> Generator Name: Dhoot/City of Lathrop Facility Name: Dhoot/City of Lathrop <br /> Address: 15600 S. Harlan Road Address: 15688 S. Harlan Road <br /> Latbrop,CA 95330 Lathrop. CA 95330 <br /> Contact: pal Winder shoot Facility Contact: Allan Dudding,Stratus Environmental <br /> Phone: 209.982.0376 Phone: 530-676-6004 <br /> IWM)ob#: ^ 98761 DS y <br /> Description of Waste: 3 Drum(s) Of <br /> Non-Hazardous <br /> Soil <br /> Removal Date: 8/t0/09 <br /> Ticket#: ^ RSVRL1.00809 <br /> Transporter Information Disposal Facility Information <br /> Namc: IWM, inc. Namc. Republic 9erviccs Vasw Road Landfill <br /> Address: 1945 Concourse Drive Address: 4001 N. Vasco Road <br /> San,lose, CA 95131 Livermore, CA 94550 <br /> Phone: (408)433-1990 Phone: (925)447-0491 <br /> IWM,INC. CERTIFIES THAT THE ABOVE LISTED NON-HAZARDOUS WASTE WILL BE <br /> TREATED AND DISPOSED AT THE DESIGNATED FACILITY IN ACCORDANCE WITH <br /> APPLICABLE FEDERAL,STATE, AND LOCAL REGULATIONS. <br /> William T. DeLon 8/10/09 <br /> Authorized Representative (Print Name and Signature) Date <br /> + CcrtC3Il)ispo9al.blankficld.rsvrlusc Revised:281005 <br /> I s <br />