Laserfiche WebLink
Aug 14 2008 9: 49AM LSC448 ANTECA 209-824-9350 p• 2 <br /> 1 Free964*00/ iv b. a iAcltyiTires/ <br /> CA �s0�11: ir�►S1.v! Calfttomia irna rated Waste Management Board <br /> @_'Td Log and Receipts , 4tae2 P.O.Q1 121#. -1 259 <br /> ILL" ,, = Ctxn naive Tri Number <br /> _ r <br /> ME meio,m�INSTRUCTIONS O I BACK OF PART 2 dO NOT 7%1i�E. STAPLE=OR DUPLICATE <br /> By siprtry thh G Corapatwlarw TrIP Lap arld A Yf♦r11,�!rynarra)rsttrrst tIW Ma ieMrate6m provided tat fits It=ae tri M.00neidar•d caNidential,PrnprlsLry anal trade eaewt.7n ac wrdarte•MtA Tplet 14 CCR Secdun <br /> 1 TIMI C eoq.,If a rwamM is Pude for dlaCiaa zu Ot Yra*ftMWk^t6WIrr#W 1411 aontart Me rdgmya)of the 11—at tfla aadneas and riephw numLx Prov Id•0 m ME ton"or m)W pL', <br /> Hauler Address <br /> Business Name <br /> Address° Ties Schwab"ti4Tareho Centers <br /> City, State and Zip WNW Madm .Right .. <br /> Fririevffie, OR:97754 <br /> EI,coinrr�an J <br /> Carrier <br /> I certify order Pe^way of Perjiey under the 4W%ofthe 61 t WbrInta stat ttI• I abwa Is aua and oorrecL dd <br /> -In a1ron,1 err fwa9on that fe61of this trdornwfbn lin puipans6n,ravoratlan,or denial 01 rene+■d ct Ur <br /> Wast*Tlrs Haub fiegimafon W must to Fub6e Res + Code sactlm 42960 and"WY—4A in d"Wa4 iee up to 6 25,000 Par dry.Pe or wm:niat rtlive up to vlolat-n Per day a deacaibed In Ptkic Raawrcm <br /> Driveres Name river'sto - Date <br /> MWEIR31401 E r I • <br /> 350949 ' - C . taMUDD 11 ' <br /> Hauler We Program ID 1 Its SuIAx Faolllty Tatephone umber <br /> ).S V, <br /> Mauler Name � �f <br /> � C <br /> .1es Sebwab tanip or Lahal.OK I <br /> Hauler Teif ipnone Number <br /> Atldssscarrae, a�Haiuler J <br /> I T THAT uioeTt FENALfY OFFER at1tT OF Ti! <br /> 1-541 -447– L.A OiF THE STATE OF CALrFORNFRUE <br /> OVIDED ABOVE IS <br /> THAAND C <br /> •a ILL,M a • <br /> 509497 ..� <br /> t Hauler Tire Pr�i�m� r �,fll� �,Y TelePFlOfti9. tr�b®r .` <br /> w. <br /> Lam:_ 0-00000 <br /> arr;WAddreaae <br /> Hauler Name <br /> Yiattler TsfepYii,ne Number - [ Address Same Havk@ r iaNi•M <br /> 1 CMIFFY T"T UNeat PONALTV cP v of R1a <br /> L,5, 447–4136 LAWS OF THE STATE OF CAuFVRNIII, T TH6 <br /> I ORMA710H PROVIDED ABOVE W TRUE AND RE T. <br /> I <br /> Y 5 0 9 4 y ! rt• <br /> Hauler Tire Program ID 1 S�6s;sV1nX Facility.. one mbar <br /> f: . . <br /> RHONE) <br /> Hauler 1<3ar�ae. } :. . , ��7 �!: ► V'1 Y, tF <br /> IAN Schwa? ; CL� �� wry. 7�► �� <br /> � i:aiAei X34 <br /> Haufea Tel harre Number 1 [ A.ddresst Sarno a Haukr <br /> 1 C [T I IFI 4 1/► 1 l' A CMWV T1GT 4WEN PENALTY QFOF IN <br />