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? WASTE MAN!!•�5 <br /> .-N0k . ZARDOUS <br /> 't'fease print or type (Farm designAd far use on elite(12-pitch)'typewriter} -., - - - - 2.Page I <br /> uA [ ._ Manile'st <br /> - -NON-f-IAZMA���!S., -1.Generator's'US EP.A ID.No. . '. -- - Document No.. - <br /> WASTE MANIFEST 0-m 82 5t�3. 251. <br /> 49797 .'ot. <br /> 3.Generators Name and Mailing Address' --- - - - ' <br /> 1Jx�ified .Gdesternirocers Attn.:: fat auiller<uty <br /> 5200 Sheila.-Street. . CA ..'. 9f 040 <br /> 4.Generators Phone( '323 .264- .570 .-. . <br /> 5 Transporter 1.Gompeny Name.. - _ .. US EPR'ID Number. A:Siate,Transportars ID' ' - <br /> ���+ �� 012,:!, ()-0 - <br /> US <br /> . 0 B.Transporter i Phone 909-33 X07 <br /> qaz Hat `Trans :.-Inc-. <br /> 7.Transporter 2 Company Name. - - - 8.' US EPA I_D Number G:S1ala Trangporters lD, <br /> D.Transporter 2 Phone <br /> 9.Designated Facility Name and.Site Address -. - - '10.. 'US EPA ID Number _ -E:State Facilitys ID <br /> Remedy ';-9riviro=ental <br /> 32�Jd: B:'FronteFa Sreet F:Facrhly'aPhone.. <br /> :Anain ein CA.; : �8�35 CAL.�J�J 20� 5� <br /> 11.WASTEbESCRIPTION <br /> . . <br /> 12..Containers, 13 1d ' <br /> :Unit <br /> No. Type :, Quantity.' <br /> a - - <br /> tdOtl-tiA ARIA IS WASTE LI EJIDS <br /> G b _ <br /> E. <br /> R <br /> 01 <br /> T' <br /> G.Additional,Descriptions for Matanals Listed Above - - - - H.Handling'Oodes for.Wastes listed Above - <br /> a:,).:,non-hazardous water .; <br /> PROFILE #04-'�fI'-(]1-�6�3 <br /> it . <br /> - 15-Special Handling Instructions and Additional Information " -- - <br /> flab` Site;: Stockton::facility <br /> Igoo -Piccolo Rd. <br /> - GIOVES & 43G LES Stdcktari, CA; 95215 <br /> F.! i6:GENERATOfi'S CERTIFICATION:fhereh certify that the contents o1 thia-shipment are full and accurately described and are m all respects �I <br /> yy YY <br /> m pfoper oondilion.for.trarisport:.The matertaIs described cn:this.manifestara not subject 1o,tetlera!hazardous_wasta regulations - <br /> r Date <br /> Pnnted Typed Na Signatu Q Month Day Year <br /> I Data <br /> 17.Transpartsr 1 A&nowledgamentof Recelpt of Maienals _ _ -- _ r <br /> nn[eNTypod Name Sign Month Day Year <br /> P [ atenals Dasa <br /> �n 'ei to M - _ <br /> r A owled eme t of floc <br /> 'i .Trans rte 2 ckn - <br /> t3 p <br /> Po 9 <br /> U . <br /> R; - - - - :Signature-,= Month. -'_Day Year <br /> T, - PnnledlFj+pedName <br /> E: <br /> F{. <br /> 19 D&415amy.ndication 5pape <br /> A. a <br /> 1 yp,Facility Owner or.Operator;Cartiticatlon of receipt of the waste inatena!§wvered by this mantle§t,except as noted in dem 19 <br /> f L. Rate, <br /> _ T: Printedf�yped Name - Signature Month qay Year . <br /> O20ff2' L/�Ef.LT'USTER®.I11ooS1321�fi808-www.lebelmaster.com - .,., 'aawiFoarrii£crcteopirErir� i'eMr�I - _-.Ray.3/35 - .. <br />