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07/1/2000 15 35 4089421499 I PAGE 02 <br />�aserje-i ituu, %4ZO 44( UwyLf, .run-2B-uu G u4AM, Qy� <br />�! aji Republic Services <br />k Vasco Road Landfill <br />WASTE APPROVAL FORWNON-HAZARDOUS WASTE MANIFEST <br />WASTE STREAM INFORMATION <br />l)atc Wcdncsday, June 2R, 200t1 <br />lGeDecatur Ches'ron #9-4775 <br />eenlerrtor Locacfan <br />301 West Kettleman Ln I odi Co, <br />i <br />j c•� Number 02611 <br />t1VN <br />I i+ Sti rpVal DKt, 6�2. J01) <br />• C 6128/01 <br />Expiration Datc L GY <br />r�lanagenlcui ,... <br />f EMaud,r or +eadtralaud thu[ man�aR�'n►r►+/ of rhe wrist, for dpiJ�nval meat 6t !n rn�rertrunc+r wuh <br />The above r, u r[croirtmerulmfan ojnce ► ,11 ,r d loco <br />o r t r+ue <br />tht furJlrr)�`r ptrmlt end �,Plicaisle fteere! store ,.nd lacot rt�gnlurtunt TJtr opprrrl ul u hrr9cr% upn+! a rrrtr+•� of nc�� %/rfiulrluruin pruvlrltC d.' rice t;r,ariarnr <br />I �I the A7 c+jeflegc'nf rtpr+u the+ litabl rtt r1:r drFpulul f4r'�Irtti nl u V.a% mrrlrrrol es,errrrtrll} tgrrrwalem to (Aemlral romprrrHrurr and lrkvOr,r! prrrprrr)rs Id 'hut <br />cs rleffrrrrl abavr_ <br />I. <br />AM1mmi,+►ror0146AlGNtDAND COILIxt1LDCopY AI 1LSFoRilAlt)SI CCOMP4NIED <br />r4CF1LOrfP UNr_(tlYYµ1LLI3FREiAI.Y <br />FILL <br />(,eucrstor 'Signature Date <br />TRANSPORTER INFORMATION <br />j t gnrporter to rntrip let¢ this secttin _ <br />x:raosparter NRine <br />TrunYpurler Address Integrated Wastestream Management, Inc <br />950 Acnes Avenue <br />Transporter city, State, Zap Milpitas, CA 95035 <br />Transporter phone 1Vttrnbcr (408) 942-5955 <br />� wvCr liamC Bill Penn <br />111/113 <br />Truck cumber 9423690 <br />Vehicle License VumberlState <br />Driver sigiiature <br />DESTINATION INFORMATION <br />ry that the almvr Hamot nmrerlal hag b.tin accepted Rnd to the heft of my kttuwted Or <br />A <br />Date <br />rs trot rind aec,rr0.� <br />i <br />Sxgnatuye of Vasco Road t and[dt 4.u><ploNee Date <br />4001 North Vasco Road tAvernrore - Yhnnc 925-447-U91 raa 9«5-447-1085 or 925-447-0499 <br />