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fir..-.. ar C <br />r WESTAiES CARBON PRODUCTS <br />NONHAZARDOUS MANIFEST PKM10001 <br />CONSIGNEE TO : <br />SHIPPER O : <br />❑ Westates Carbon -Arizona <br />2523 Mutahar Street <br />Parker, AZ 85344 <br />i 7I 'j C7 -57-7-t5- <br />_ --� a { f <br />44. <br />L <br />XWestates Carbon -California <br />11711 Reading Road <br />Red Bluff, CA 96080 <br />7P <br />4 <br />Job#: 3 1 v(2(A_ <br />No. <br />Shipping <br />Units <br />TYPE • <br />DESCRIPTION WEIGHT <br />Sent Carbon — Non -Hazardous Waste `dh <br />l <br />7P <br />Circle on AQUA.,/ VAPOR <br />Profle#7 �a <br />NAME: <br />to <br />1.) Name of Generator 10.) Signature of person in box 9 <br />2.) Generator site address 11.) Same as box 9 <br />3.) Given job number 12.) Signature of driver for Transporter.41 <br />4.) Number of units being picked up 13.) Name of carrier transporting to Plant <br />3.) Type of unit being picked up 14.) Date the bad was picked up to go to the Plant <br />6.) Total weight 1S.) Drivees:ignature for Transporter N2 <br />7.) Profile number, MANDATORY 16.) INTI name olReceiving person <br />&) Date service agdtor pick up performed 17.) Date received Into Plant <br />9.)' Name of person signing for Generator 18.) Signature of Receiving person <br />WH1Tee THE PUNT YELLOW: T1tAlISPORTEIt *2 MNK1 I= GOLD: GENERATOR <br />