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8-14-2001 8:07AM FROM ##### ###### 000 0000003 P. 2 <br /> 1 <br /> NON—HAZARDOUS 1. Generator's US EPA 10 No, mfas 2, page 1 <br /> CE MANIFEST r: A .� ct (► t? .L :� 2. 1. 9. ` �` �':�° of -1 3126/49 <br /> 315!yfp "V'tJrospp and Mailing Address <br /> f�R1aNf�, CA 92868 ' <br /> 4, Genprotor'%Phone( 714 ) 560-4875 <br /> 5, Transporter 1 Campony Name 6., US EPA Id Number A- Tronspoders Phone <br /> Filter R,;�c•yclant,3 Services, D 9 P. 7 4. 4. 4. 4. B. I (909)873-41.41 <br /> 7, Transporter 2 Company Nome 8, US EPA 1D Number R. Tranoporter's Phone <br /> 9. Designated Facility Nome and Site Address l0. US EPA 10 Number C. Facility'e Phone <br /> Filter 'Recvc-ly.7113 r:Frvice�_;, In(-. (909)421-2012 <br /> 180 W. Mont, AVpl1UP <br /> R i.al tc), CA ')2316 C A Q 9. S. 7, 4. 4. 4. 4. Q. <br /> 11, Waste$hipping Nome and Description - — 12, Containers 13, 14. <br /> Total Unit <br /> No. Type ouoM Wt VCd <br /> a, Non-Hazardous waste _-mlid (W-ater treattrje.nt 1 <br /> filters) <br /> 00.7 Dcnd.7. / P <br /> A <br /> E p <br /> N <br /> E <br /> A c. <br /> 1 <br /> 01 <br /> R <br /> d. <br /> E. Handling Cede Wt7 i for &1b11 Las A%%i0* <br /> ifi ry � 1 a <br /> 1,Rrp a) 129 <br /> 24 WAYR 9MR(WC'Y NC1431M (1EMREC 1-•800--424-9300 <br /> SITE ADDRESS: Holt Release Site <br /> 16.GENERATOR'S CERTIFICATION; I [trtify she materials described above on this monlfess are net su6'ed tom far rep"4g prpper dhpowi e(Hozordpor waar.. <br /> Da T <br /> .... PriMe Month a <br /> {d/Typed Nome y Sipnatarp y <br /> T 17,Yroasperter 1 AcknoXedgement of Recsk+t of Materials <br /> f T Signat e Martfb � <br /> P <br /> R 18,Transporterw2 Aekno.oadgement of Receipt of Moter;ols <br /> T Printed/Typarf Name tgnoture Month Da Y Year <br /> E <br /> R <br /> 19.Discrepancy Inditotian Spore <br /> F <br /> A <br /> C <br /> -- <br /> L 20.Facility Owner or Operator:Cen6fication of receipt of waste materials covered by this manifest except as noted In Item 19. <br /> 1 <br /> T <br /> Printed/Typod Name Signature Month Day Yoar <br /> TRANSPORTER 92 <br />