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916 457 181T P_ 03 <br /> •� V10N-HAZARD0t 09602 <br /> MATERIALS MANIFEST - <br /> GENERATOR QrrY OF STOCKTON <br /> Site Address <br /> mainr <br /> Phone:( } Contact <br /> TRANSPORTER <br /> Address '{ 11�r1_7n<< /�, l' <br /> ------ <br /> ,I� .Yf� fJ.rao( ry�/ ��� � .r <br /> Phone:( } t2-Im- <br /> �g C`A Conlacl: <br /> I hereby certify lha lthOe above named material was picked up at the generator s"ie I�to a ve, <br /> Driver Name: s^ <br /> Signature <br /> Truck No; Ship Date: S� <br /> Time of Pick-Up: Zo <br /> Time of Delivery: <br /> ConsulterttlOwner <br /> Address <br /> P.O.BOX 233134 <br /> Phone:( } 134 Contact: <br /> I hereby certify that the above named material is consistent with the Information presented in the Waste Characterizallon <br /> Form and Contaminated Soil Description Form,and has been properly described,classified and packaged,and is in <br /> proper condi r transport acc g to applicable regulation. <br /> Name <br /> Date:—"—Y;: <br /> t ycling ft= REMEDIAL ENVIRONMENTAL MARKE -INN-C . INC. <br /> 2717 GOODRICK AVENUE RICHMO , CA 948 <br /> RECEIVED BY: - <br /> DATE: <br /> Control Pfo: — <br /> ACOPY OFTHIS SHEET f,RUSTACCOMPANY EVERY LOAD.ANDMUST BESUBMfTTED ATTHE GATE FOR ENTRY, <br /> ALL LOADS MUST BE SCHEDULED AT LEAST 24 HOURS IN ADVANCE. DELIVERIES MUST 13E 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 />