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VE O l IA D4 578 <br /> D405780 <br /> • ENVIRONMENTAL SERVICES <br /> TECHNICAL SOLUTIONS JAN 2 2 2u <br /> NORTH AMERICA REVIEWEL)by <br /> cc. FILE <br /> Customer: Generator: <br /> SHOP HAZARD SOLUTIONS F&H CONSTRUCTION <br /> PO BOX 798 4945 WATERLOO RD. <br /> TURLOCK,CA 95381 STOCKTON,CA 95215 <br /> Veolia ES Technical Solutions L.L.C. AZ0000337360 <br /> Certificate of Recycling and/or Disposal <br /> Manifest/BOL Number: BOL411578-B <br /> Type Quantity Unit of Measure Serial Number <br /> Recycle-Four Foot Fluorescent Lamps 116 LMP N/A <br /> • By accepting the waste products described on the shipping paper referenced above, Veolia ES Technical Solutions, <br /> L.L.C. certifies to the generator that the transportation, storage, and processing methods employed are in accordance <br /> with Veolia ES permit parameters, the Toxic Substance Control Act, the Resource Conservation and Recovery Act, the <br /> Hazardous Materials Transportation Act, the Occupational Health and Safety Act and all applicable federal,state and <br /> local laws. <br /> Under civil and crim inal penalties of law for the making or submission of false or fraudulent statements or <br /> representations(18 U.S.C. 1001 and 15 U.S.C. 2615),I certify that the information contained in or accompanying this <br /> document is true, accurate, and complete. As to the identified section(s)of this document for which I cannot personally <br /> verify truth and accuracy,I certify as the company official having supervisory responsibilityfor the persons who, acting <br /> under my direct instructions, made the verification that this information is true, accurate, and complete. <br /> ;yf f/t�titl,_1:. (�t?ary7ie�Car'J;drlra'%H: <br /> lI Operations Manager Date Received: 1/9/2009 <br /> • <br /> Veolia ES Technical Solutions,L.L.C. <br /> 5736 W Jefferson Street,Phoenix,AZ 85043 <br /> tel:602 233 2955-toll free:800 368 9o95-fax:6o2 415 3030 <br /> www.VeoliaES.com <br />