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_ s�p�ointtnvnt ��#Oo737 <br /> NO AZARDOU , WASTE MAN11' T � ' 11: �� •;�' <br /> Please print or type (Form designed for use on elite{12 pitch}typewriter) ,Manifest Page 1 <br /> NON-HAZARDOUS 1.Generator s 135 EPA ID No. Document No. 3 /of <br /> WASTE MANIFEST CAD 932 ��S 251 <br /> 3.Generators Name and Mailing Address - - - <br /> {J;3ifia3 4-astern Yroc4ra '1ttn: Y 3t ,tiller iaty <br /> J200 Slieil3 Street,' Cammarce, <br /> 4.Generators Phone( 3?3) 254—J239 <br /> 5.Transporter t Company Name - 8. US EPA ID Number A.State Transporters ID — <br /> �t+ AT 333 '312 300 B.Transporter 1 Phone — <br /> '' az lat� lran:3, Inc.IIc <br /> 7.Transporter 2 Company Name 8.' US EPA ID Number C.State Transporters ID <br /> D.Transporter <br /> 2 Phone <br /> 9.Designated Facility Name and Site Address :. 10. US EPA ID Number E.State Facility's!D <br /> 3e3ae Y Enviro_ mantal <br /> 3200 E. -Froatera Strut F.Fecilitys Phone <br /> Lza ai CS 92506. C.kL 030 2°1)) J00 714-a30-2307 <br /> 12. Containers 13• 14. . <br /> 11.WASTE DESCRIPTION - Total Unit <br /> No. Type Quantity W1Nol. <br /> :VO I- ALABOT-3 ':'TASTE I,1,1,JTDS <br /> G b. <br /> E <br /> N <br /> E <br /> o. <br /> A <br /> it T <br /> 0_ <br /> LU <br /> QFG.'Additional Descriptions for Materials Listed Above H.Handling Codes for Wastes Listed Above <br /> N a.), Heti-�a�a�'3ous : grater _ <br /> p PROFILE #04-11T-01-059 <br /> 4 a 15.Special Handling instructions and Additional Information Joblite: 73tocktail Facility <br /> r� T 1990 Piccoli4.. <br /> OVES & 17VJ3LES <br /> Z JLstacktoa, CA. 962i� <br /> Z amu: . #909-3139-J507 <br /> 16.GENERATOR'S CERTIFICATION:I hereby certify that the contents of this shipment are fully and accurately described and are in all respects <br /> in proper condition tot transport.The materials described on this manifest are not subject to federal hazardous waste regulations. <br /> Data <br /> PdntedrFyped Name, ' Sign tura <br /> T 17.Transporter 1 Acknowledgement of Receipt o aterials / Date <br /> RP' yped Name M n Day Year <br /> Signet <br /> N <br /> Q18.Transporter 2 Acknowledgement of Receipt Of Materials - - - Date <br /> TPdntedlfyped Name Signature Month Day Year <br /> E <br /> R <br /> ` 19.Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> 20.Facility Owner or Operator,Certification o1 receipt of the waste materials covered bythismanifest,except as noted in item 19. - - - <br /> L Date <br /> TPrinted/Typed Name Signature Month Day Year <br /> Y <br /> F-1402002 ILABEtMAST'ER®(800)8215808 www.labelmeSTer.com ®pplrylEn ON RECYCLED PAPER Rev-3795,.. .,. <br /> USM SOYBEM INK � 1 SONINK <br />