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�.D W HAZAR DO U-.- <br /> MATERIALS MANIFEST <br /> GENERATORt <br /> Site Address <br /> Mailing <br /> Phone . - 7ZI>2- 1335 200 Contact: T4\'Zx_ <br /> TRANSPORTER <br /> Address 1 � <br /> Phone : Y ( !U7 Contact: <br /> I hereby certify that the above name material was picked up at the gene ratosi_lelis d'ab�tive ' <br /> Driver Name: -0 / Signature " <br /> —.. <br /> Truck No. l <<� _ Ship Date: �G <br /> Time of Pick-Up: Time of Delivery: <br /> �nsultantio3knerlK <br /> Address 1-7,51 <br /> _— <br /> 'S� <br /> Phone :(qjg 5-1-L - 503'25 Contact: 'DC C) <br /> I herby certify that the above named material is consistent with the information presented in the Waste Characterization <br /> Form and Contaminated Soil Description Form, and has been properly described, classified and packaged, and is in <br /> proper condition for transport according to applicable regulation. <br /> Nameii5v� r- Date: X, –7 <br /> IN-1 - oil <br /> Mr.Thit� <br /> Recycling Facility REMEDIAL ENVIRONMENTAL MARKETING CO. INC. <br /> 2717 GOODRICK AVENUE RICHMOND, CA 94801 <br /> RECEIVED BY: <br /> DATE: 5 <br /> Control No: <br /> ACOPY OF THIS SHEET MUST ACCOMPANY EVERY LOAD,AND MUST BE SUBMITTED AT THE GATE FOR ENTRY. <br /> ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE. DELIVERIES MUST BE SCHEDULED ON <br /> A DAILY BASIS. ANY UNSCHEDULED LOADS MAY BE REFUSED AT THE GATE. <br /> WHITE-FACILITY COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />