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916 457 1817 P_04 <br /> MATERIALS MANIFEST <br /> GENERATOR fry-Y OF S1'0 "T(' M <br /> Site Address <br /> Mailing FIRE STATER2 -STOCKTON, CA <br /> Phone:( j Contact: <br /> TRANSPORTER <br /> Address <br /> Phone:( )_,pt4,jG-&4)' t: <br /> t31d9} Contac <br /> I hereby certify thatlAwliibove named material was picked u at the eneratoV <br /> p- p g t- ted above. <br /> Driver Name: 1 ?�c�Cry R t'i) C ,;,IL Signature <br /> Truck No. �'� l`! ,J, Ship Date: <br /> Time of Pick-Up: `E. r;,r.s. Time of Delivery: <br /> CansuttanUOwner <br /> Address <br /> P.O.BOX 233134 <br /> Phone:( ) SACRAW-NT0, CA 9511_'3-3134f Contact: <br /> 916 454-59+5 BRIAN a)tNS <br /> I hereby certify that the above named material is consistent with the information presented in the Waste Characterization <br /> Form and Contaminated Soil Descri tion Form,and-has been properly described,classified and packaged,and is in <br /> proper condition tr=ng to appGcabl�regulation_ <br /> Name <br /> Date: <br /> Recycling Facility REMEDIAL ENVIRONMENTAL MARKETING CO. INC. <br /> t+ttrtt�� <br /> 2717 GOODRICK AVENUE RICHMOND, CA 94801 <br /> RECEIVED BY: <br /> DATE; 15 <br /> Control No: <br /> A COPY OF THIS SHEET MUST ACCOMPANY EVERY LOAD,AND MUST SE 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-FACUry COPY YELLOW-TRANSPORTER COPY PINK-GENERATOR COPY <br />