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'T10NALLY sa16)351-09eo <br /> i ExEMPT S <br /> Mg LL Date: <br /> RECEIP QINTITy� zp/11/z°zv <br /> AMERICAN cmaupw,h ryhe fouow; TO be AND CERT FNERATOR lime: <br /> WASTE OI V LLEY tof excleec sm R aeiato^wa;tlAtcneagnCerrect.an coMPleje IbY tIDN STATE E CNE KiN A M <br /> BI L<,r P PO Box L I eaulatlo tl C <br /> I,L TO: 158)F.� N.1-80EP32b695D Fhr CA 95315 laLG "Ni" <br /> limits tohisoquanliWof wam llarthe ee.�a unoerl he Benerat ENT AN,CERTIFICATION <br /> 6TOCh1'OI,, CAH'A I_. A4 OAR00022x)2306fi8-3880 I" NumKer CorlTPanYN fvlha,I Or CATION <br /> /.ca 2 Co ame: < atne spe•� <br /> Phone JOB S2TE: ._.,.,� mpanY Address: aN maieia:not vine seiale <br /> e +u nla RA Trust o <br /> Pho N❑ P.O.Box a, <br /> tie <br /> PRIO" -`/�"�- customer P.O. - rr Dap. tuber, Stockton 8C 84 n CO1nPe <br /> DUCT SHIPPING � � VR p o: <br /> OESCRIETION Tis --� _ (213)245- A 95209 '.'. <br /> EFAx'^Y- General Waste Descr; <br /> 4388 <br /> NON-RC WASTE MANIFEST const tueat,nNon IcheGI TO BE COMPLETED BY STERI <br /> aA IDp Osy 9 <br /> RA Waste Li ui SI8 tura A 00 <br /> 9 dUsetl CODE .UANmy U'='sasaa' WTC.) Nat_ Titlp' <br /> Oixed ons RRICE ^ aNT Absdrbant aN4 Q _ <br /> 03,, <br /> NON-RCRA Waste Liquid Used221 pass waara state CVCLE CHECK-INA V Date. IaL-.� <br /> Antifreeze Coae sn TTENOANT <br /> NON-gCRA Waste Liquid U 133 NR ori '^" <br /> Compliant setl Oily Water S C10 vn.rs�, o,arwm, <br /> Ora tied USetl Metal Oil Filters 223 ae8sv Igo""°sle <br /> 2201bs ost <br /> $308pp <br /> I` <br /> TBEERMS ecome IneVOc 8$aov'r 300aysare subject tg........ ice charge.C <br /> E ryowllen lM1ls invoice. usm <br /> pa allrryel leesnwnn actmn TOTAL <br /> e nNnY RCes itis wnn an <br /> M <br /> Hat <br /> generation aha sNanineawearemanageamm�melnoJ�lra�lseas abate^e nnrnenoq. lg° vgreaw,rnavemweee°°e knnenummmimvemy wa <br /> te�suCali/o n mgmw <br /> rm staneaasentl nmtnesemoresl ngmrrryumnems. mmrems°s rrrslawl°I r°¢me una°xroauraataxrssuuw <br /> ftl <br /> waste has been tansporteb loallcensetl rreermenl or vanslerlae v, 'man Valkv Waste dl wul suomitomnrmauen r°rlcemm�wn¢k Greamvlla merotamer rne <br /> GE EeA / <br /> DRIVER -�,, j� � ir�l �I rl _ cessingFee �$20,00 <br /> SIGNATURE. <br /> GATE J <br /> hod of Pymnt: cash checks otDISPO AL/RE YCLIN FA ILITY Dat <br /> ODI N O ASBURY ENVIRONMENTAL O 5RIVERBANK OIL 300CLAUSRD.TRANSfER O fi5u.IS RwY 95 521 INDUSTRInLORSTEM icycle Check-In Attendants Initials: <br /> RON WAY 1920 MORGAN RD. YUMA.AZ85366 LIVINGSTON,CA95334 <br /> CERES,CA 95358 RIVERBANK,CA95361 M.399,ga28 209651805) <br /> O 95620 209.591-Ins 20M63-8181 EPA#AZ89o05211A6 EAx CA'ana 300A <br /> 06 EPAJ CAL000393680 EPA#CALDDD190816 <br /> 80012602 <br /> 1 - <br /> �ne.•,r,,,r'�Ycle, Ra��BssW <br /> rtai Snnrno- ho card., <br /> Ra<A a, <br /> CONDItIpNALLy EkEMP IBz6J 3s1.i;CA >9z <br /> T6MALl Date: <br /> caniry matt t gECEI UANT, s)1e)tma <br /> 11 <br /> ma0 gvamatvnRegem°r'Wnron"ssbn TO be�mPIeRT F 4"'a R WASTE e. a:Op <br /> Nrexc�n a oN mr toSA CHC AM <br /> til Hum ec nar Mfftvere ddY the Be TEMENT KINAND[ <br /> Cc,Pan smalls nnryro me aoesrertM Tea aerator ERTInCATIDN <br /> ComPan Name: Wl:n,a <br /> Phone Address: SanIa IRA Tru o unp <br /> Number, St c2 shiona lane are °or,..re° ••°ea pwu.n. <br /> kton °•eom•°,were, <br /> n 245-CA932 Pan'Rep.na,a, ��'emamruw'n^ <br /> oe 213- 12 ra,cmmm <br /> er cwaste Descri 9389 ERA IDp Dsq•9an <br /> ConseltuenR An twiC lnemlpl TO BE COMRLETED 'IG'ure: CAC 003p la <br /> OiIY Absor BV STERICYCLE No' <br /> 331a0 <br /> bent cax, w Ec <br /> sh KIN ATTEND Date: <br /> NR NT <br /> S 6aBBetl W WAIN ilec°Wade <br /> 2]0165 Cost <br /> 53030p <br /> ising Fee $20.00 <br /> d of Pymnt: Cash Lhecka Inv Total Paid: $328.00 <br /> :le Check-In Attendants Initials: Date: <br /> s�iM <br />