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f__ Iin r-'aa�Ifea�t�� <br /> Non-Hazan' -.jus Materials Hau � <br /> Name CLEARWATER GROUP INC. Phone 510/893-5160 <br /> sg 520 THIRD ST. Fax 510/893-5947 <br /> Ad <br /> Cl st.Ato M,, OAKLAND, CA. 94607 <br /> Waste Description ��-E'r� <br /> Name <br /> �f�sl <br /> // <br /> Generating Process <br /> Address 2/4-SZ- <br /> City, <br /> /4-S s / <br /> .�-. Clty, State, Zip <br /> •Vi7 <br /> ComponentS of waste /_ -+`tom ��-�'"�� Components of waste <br /> Date -�� 5 7 <br /> By <br /> aid ure print/gyp*tull name <br /> Name <br /> Address �S / /�� ,y��r l/ <br /> Phone siU�_ S 3 - Sim <br /> City, State, Zip -�%�: ��� Fax <br /> Generator/Owner Certit4es This Waste As Described is 100% Non-HaxBy <br /> ardaue <br /> signature print/type full name <br /> Company Name <br /> STARBUCK CONSTRUCTION Phone 209434-2958 <br /> Address 1007 E. B UCKH ILL RD Service Order No. <br /> City, State, Zip ,��------- <br /> FRESNO, CA . 93720 P:ckUpDate 5-15-97 <br /> Truck i D. NATIONAL TRUclTrailer No <br /> 3/ Load No. � _ Of !-- <br /> �r GEORGE STARBUCK Date <br /> Driver - , <br /> signature print l type X11 Hama <br /> � <br /> Name Phone <br /> Address S City, State, Zip <br /> hereby certi!'y that the above material was received. <br /> aignatt�r+s <br /> date <br />