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Elgaatronic Reporting to CIWMB' Golden E iy-P- has been a zhorized ny CI'vVN19 to partic+pate In to and lJeed The Man"ast EDT eleLt►onlc <br /> reporting prof,-am.On behalf of the custom r lig is form, Golden By-Products will electronically ti 1 CIW MB all required information from thl <br /> rrLa n i4esl.tr sem. <br /> tmez�m (iCGO V fn" . <br /> L�:-------------------- <br /> 02/28/05 09721 09:21 FAI 209 667484 G.B.P. Z004 <br /> WASTE YT <br /> ED TIRE MANIFESTAREC-7EIPT <br /> EDT TRIP LOG#-- 1003314-0 /3.Z 11x3- th Ft - ( EDT MANIFE'S"T#: IM3314- ____ �► <br /> FSAT15 i <br /> RUN 9&V•.•FI b ---_ � JrwlCBN <br /> Fart 1:Fa 'ititY Ulormatitm (Ac al physr,_al 1crMion of*�cility�, ao2 O -..x <br /> Check one: PICK UP FROM A GENERATOR U DELIVERY TO AN END TISE FACILITY <br /> e� <br /> _311*por? !_Export IapfExp Location: / 4 C4 <br /> GOLDEN/S-T L ACC I ( li t' �//"1� <br /> O� �� tt r p� <br /> CITY,ST. ZIP: L c_;�rOp CA I SrrE SUFFIX: _Q L <br /> PHONE: `� b q S 'a I TRAMSR#: fU DEL f� <br /> Paci2: Load Information TYPE COUNT RATE DOLLARS <br /> �O E WASTE TIRES Passenger ��--��b„g S = tR�a Intended Use: <br /> II PRODUCT: -- o LRF3-RF-AD <br /> if 1 l b-°� - 1 b- - <br /> awl3oLE TIRE COUNT(c) Tractor I /RECYCLE <br /> �Other �''o �,•�,c� Sty - Zb. Sa (7 <br /> �`YA C)S l Y) 11 f FUEL <br /> _%TWATT IN (P tTrailer _ 4-- - LDISPOSAL <br /> WE.W ffT w TCINS(n 1 TOTAL D� <br /> l evftiN that wider pantry of peemy urdar ft I—of stale d Callfomfa"t tlw lnfamanon provided Above Ia Iru9 and corral-in edatton,I am awes that twof4casm of Iris 6dormaw may result Ir <br /> pan "ties up to szu Dow Par COY.Per vibAsw o-mat7:' vwMv p1nRd PVw rp to Ff IN par knlake..per day aP doe ,r ,Jn.Pub;k PYk011t2a COAs sed lw)42962. <br /> I uj►dF C' �ap�rr6� �_...� �' ��a� 17-72-e , <br /> r"licif y dbPrcaccntad'vcl;t`armkphht) f lative'b Sign Dale <br />