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0#S9L-0#L066ZNG1 IMS lo-rJ-rgl <br />r <br />L VN I MMN nIn #'1 <br />l F3NON <br />9# MMN 9200 1100 0100 E'I <br />l ZL MMN 1000 E l <br />l MMN 6LZn 6EOn I= sei. t9Ln zzin Zl In assn 100,1 r. <br />L Z'L Mht <br />L 9# MMN MMN 6LZneels r5ln ZZIn Zl In MAN <br />t lel lel— - u 10 <br />) :aln0 : all!1 <br />/Auetlwo0 <br />ua ar <br />-- -- ----weN _ lnteu816 <br />peluud PZ".""' <br />'89Z VedUdo O# 100 Pedgng u, 4YO1 les splepuels "king <br />YJIM1f2�rldJe ayt lee. lou soap taut else. patoutsel a e! s!u1:splepuelS lue.leell al0eo!IdtlY Ill"ION sao0 .'sem (L) <br />11 III I III I I I I I I III I I IL II II II II.'i. Cabo# cit'Vo :ON OI Yd3 !3VM9559#a000 : ON Bu!yaaul se0­9 <br />#9L 1 # 01311NVB'AOYB1: —N mlereue0 <br />NOLLVOli1111130 ONY 30110N <br />(8131) SN01101N1S31:1 IVSOdSIO ONtl1 <br />z w w,l e9.runmuetA:o I uunw uuutEeZNGI IW+'N"�NA �� <br />4d <br />1 e ............... i.i 01. I4V <br />u s le.e, "tlwaWl <br />wNi <br />„ ....... <br />h ! �2� it •rvN Yuu <br />In ,... i. IAu•Jw00 <br />wYll Yu#I# <br />pYluud U•alw4lnY <br />"11 ub,lnrn� ul NV'N to <br />1, .l.,la,. .. .i Cllr/ol,1l,'r.1 ren ul W^VI l•ll l„r6A•r <br />NIYIY NIYtlO 1'4#YY#G "II `nb•`le•IauM <br />IIIIIII�II��yd1�V kahplNX#nY0 'nl`u YYII#17711/NYY ADYYLnsIWMYN ulYano <br />IfOI N011'i"A 1111170 ONY 7011.ON <br />roil 31111 (NOL) 11N011-JI111871111 11,11110,1111110 ONYl J <br />Stop Ticket / I ` \', . _ 1 of 1 <br />Stop#: 2990740-15540 <br />#: 2305213 Pick-up: 04/02/19-04/02/19 �II"II"'lll�ll'll' <br />205850 <br />EPA ID#: CAL000409953 Internal Contact <br />PO,,: BANFIELD #1164 CA ANGELA MARKS (317)486.2867 <br />Mailing Address Site Address (GEMTSO) <br />MATTHEW SALAIZ TRACY, BANFIELD # 1164 <br />TRACY, BANFIELD It 1164 2477 NAG EE RD <br />2477 NA LEE RD TRACY, CI\ 95304.7324 <br />TRACY, CA 95304-7324 UNITED STATES <br />UNITED STATES <br />Phone# (2139) 832-9373 <br />HERITAGE TRANSPORT LLC - TS HAYWARD11312 MYERS, KELLI - (317)243-4393 <br />( ) (510)324-8817 <br />IND058484114 US DOTC 314460 <br />Emergency Rate Pickup Demurrage Final Delivery Demurrage <br />Tractont Trailer# <br />Odometer: Start End <br />Liner Ory <br />PICKUP TIME: 08:00-19:00 <br />Dmern_6648 Driver Name_BRYAN FINLEY Date <br />ITAGE El RONMENTAL SERVICES (15540) AZD081705402 <br />2 E STOREY RD, P. O. BOX 97 COOLIDGE, AZ 85128-9205 UNITED STATES (520)7234167 <br />U <br />ms Common Name See Manifest Transaction Prod Ref# Ord Type <br />1 GRAM STAIN 000945558WAS-1 12843082 66 Y1N 1 OF <br />2 EXPIRED NON -CONTROLLED PHARMACEUTIC 00094555SWAS-2 12843084 103 Y5 1 OF <br />3 WASTE NON -CONTROLLED PHARMACEUTICAL 00094555SWAS-3 12843085 103 Y6Y 1 OF <br />4 FORMALIN 10% WITH OR WITHOUT ANIMAL TI: 000945558WAS-4 128118264 103 Y3Y 1 <br />to Rep <br />Name&L7d IIYWffi-e 5ignaturei-9je,,g� Dete�W/II <br />