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NON - HAZARDOUS WASTE MANIFEST <br /> D 11739 <br /> PROFILE NO <br /> 1 800-438 3036 <br /> �!� <br /> 0 BAKERSFIELD ❑ YOLO 0 PHOENIX <br /> NOTE This form to be In lieu of the Toxic Substance Controls hazardous <br /> I <br /> waste manifest To be used for NON-HAZARDOUS WASTES only <br /> .+r�r ►..y...wr u...r.+•r rr w,r.v rr.err'...�..ti.r�r ti n.r r.r'.r+�..�r u+.r err�..w...y..ti....+r wr wr wr n.r...r rrr nr amu.wr�...r w.►r nr w. <br /> Name ARC PUMP & WELDING <br /> ? Mailing Address 1211 S. FRENCH CAMP TURNPIKE <br /> City l State/Zip STOCKTON, CA <br /> fl <br /> 3 Phone No Contact <br /> Signature Date <br /> e�l­ <br /> I ; THE GENERATOR CERTIFIES THAT THfEIWASTE AS DESCRIBED IS 100% NON-HAZARDOUS <br /> 1 ' <br /> Waste Description MONITORING WELL SAMPLING <br /> j � Generating Location 1211 S. FRENCH CAMP TRUNPIKE <br /> � <br /> Handling Instructions <br /> j I Quantity ��� ]BBL I !GLS I ]YDS I ]TONS <br /> CONTAINER TYPE C JTANKTRUCK C ]DUNIPTRUCK C ]DRUMS C ]BINS C ]OTHER <br /> DESIGNATED FACILITY <br /> NAME SEAPORT ENVIRONMENTAL SERVICES ADDRESS 675 SEAPORT BLVD. <br /> CITY'STATE/ZkP REDWOOD CITY, CA 94063 PHONE # 650-364-8154 <br /> j ' TICKET- 9ISzZ7 TRACT TRLR# <br /> MP VACUUM TRUCK SERVICE <br /> MP ENVIRONMENTAL SERVICES, INC Bin No; <br />} 3400 Manor Street Signa e &5hs <br /> 7 I Bakersfield CA 93308 Data - S-0 / - <br />{ 8051393-1151 P U DATEY`zS"p —Job# <br /> Name SEAPORT ENVIRONMENTAL SERVICES Disposal Method <br /> Address 675 SEAPORT BLVD. nLandfill Other <br /> City/State/Zip REDWOOD CITY, CA 94063 <br />} am <br /> i Phone No 650-364-8154 Time Pm <br /> a i Discrepancy <br /> Signature Date <br /> i <br />