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NON-HAZARDOUSUS EPA ID No. Manifest 2. Page I <br /> T <br /> CAf, 0002842 ,'. of 1. <br /> WASTE MANIFES . . . . . . <br /> 3 <br /> LAST MWER I.ANE <br /> TOCETON. _'A 95,. <br /> 4. Generator's Phone( 2()9 4 1 2`,9 t) <br /> S. Transporter I Company Name 6. US EPA ID Number A. Transporter:Phone <br /> I C. A P. 0 C' '() 0 �-, :� q 0 b (9fP4) '_,9l`j 4449 <br /> ISLAND ENVIRONMENTAL SERVTCE!�". . . . . . . . . . . <br /> 7. Transporter 2 Company Name 8. US EPA ID Number B. Transporter's Phone <br /> . . . . . . . . . . . <br /> 9. Designated Facility Name and Site Address 10. US EPA ID Number C. Facility's Phone <br /> ')000 E. LRUNDAGE LANE <br /> BAYLP3FJFLD, CA 93307 <br /> 12. Containers 13. 14. <br /> 11. Waste Shipping Name and Description Total Unit <br /> No. Type Quantity Wt Vol <br /> a. Nollllizardous- 1-4dilte J.1'JuJA <br /> T T <br /> b. <br /> E <br /> N <br /> E <br /> R <br /> A c. <br /> T <br /> 0 <br /> d. <br /> D. AdOitional Descriptions for Materials Listed Above E. Handling Codes for Wastes Listed Above <br /> ai U4 1 F,.'•.. it?r <br /> 15. Special Handling Instructions and Additional Information <br /> 'U <br /> WEAR APPROETTATI--, ?W)TEC11VK G R. 4 HOUR PHONE (909) 59H <br /> CLIENT: WAIMAWl' <br /> bi Lt. T,1 L`;Lj;,NT_l ENVTRt)N. <br /> W.c). 4) 0516?A. do V F. JGVISTOCKTON,CA <br /> MEI� LANE; <br /> 16.GENERATOR'S CERTIFICATION: I certify the materials described above on this manifest are not subject to federal regulations for reporting proper disposal of Hazardous Waste. <br /> Signatur lip— Month DPY Year <br /> Printime <br /> ed/ d Name <br /> 05 V <br /> 17.Transporter I Acknowle4gaFfient of Receipt of Mbterials DqZ, Year <br /> Si <br /> d/T amp <br /> OIN <br /> 7_7 <br /> O IS.Transporter 2 Acknowledgement of Receipt of Materials TR Printed/Typed Name Month Day Year <br /> Signature <br /> 19.Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> I <br /> L 20.Facility Owner or Operator:Certification of receipt of waste materials covered by this manifest except as noted in Item 19. <br /> .1 <br /> T month Day Year <br /> Y Printed/Typed Name Signature <br /> GENERATOR'S COPY <br />