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X20 <br /> NONHAZARDOUS 1.Generator ID Number 2.Page 1 OI3.Fmergmcy Response Plane 4.Wee TmMq Numb" <br /> WASTE MANIFEST 604t T 1 144-624.9136 11-17-0 47040 Ot 15255 <br /> 5.Generates NaMe arid MaAN Address Gare aWs Sat McInnis(d ei leren pun mairp adthess) <br /> A.S.H.TRANSPORTATION LLC. 2150 PONTANA AVE STOmm Gj1�21r1 <br /> P.O.BOX 36S <br /> MCTARLAM CA W3200 <br /> Generates Phone: <br /> 6.Transporter 1 Company me 'U.S.EPA M Number <br /> PATRIOT BIV"MENTAL SERVM CADM31M794 <br /> 7.Tmneponer 2 Company Name U.S.EPA ID Number <br /> S.Desiguled Fac ery Name and Sit Adams U.S.EPA ID Number <br /> WASTE hlNFylOwpa-ALTAMOI/T LANDFfli a RESOURCE RECOVERY FACR.m CAD961362732 <br /> WHO ALTAMONT PASS RD <br /> LNERMORE CA 04561 <br /> Faces s Phone: <br /> to,CWairrm 11.TOW 12 UNI <br /> 9.Waste Sh"Name and DescriptionWWd. <br /> No. Typo Ouantl' <br /> 1. <br /> NON HATARDOUS WASTE SOLID(SM BrAVATED FROF4 DM5EL SPILL n <br /> CLM UP) �U I cm IDL3 <br /> w <br /> = 2 <br /> w <br /> (7 <br /> 3. <br /> D6-u� <br /> 13.Special Hartong Mslnx:ems are Addtlaul lnfw%oon ' <br /> 115E PROPER PPE PWDFU#633409CA M"11-17-00470 <br /> 14.GENERATOR'SrOFFERGR'S CERTIFICATION:I hereby dedare mat de contents of due cwwgrimem are twty and acceralYydasabed above by the proper sh4pN name,and are dasstfed.packaged, <br /> marked and ubeled'pecamed,and an in as respects In Proper rnMdan for bmsport aaodbg t apphcable ntemaeaul and material governmental mgitabons. <br /> Gemmor'eOfferors PmteNTyped Nemo Sgnatm Mann Day Year <br /> J 15.hnembonal SNpmems Elhaw t LLS ❑Eapat hem U.S. Pat N mtrylexit: <br /> Trareiporter Simte ve(for ex Dae keivag U.S.: <br /> W 16.Transporter Admoxledgmem of ReCegl of Materials <br /> Mr Day Year <br /> TunspapJgfJ Pmled/T 4 <br /> 1 � :- <br /> n J cJotip Wv At f ��' <br /> z Trarepafm 2 PheeNfyped Now Mmm D" Year <br /> 17.Dureparq <br /> 17a.Deaeparwy Indication Space ElGumaty ❑Type El Rescue ❑Partial Rejeclim ❑Full Rated. <br /> MaNlest Reference Number <br /> r 17b.Memale Facility tar Gmemtor) U.S.EPA IArm <br /> CJ <br /> Fackys Pho e', <br /> 17t Signature of Altemate EacW(a Gemradoo <br /> a <br /> z <br /> u <br /> o <br /> 1 1S.Designated F "ry Owner'r rator Cemli attn of receipt o(meirels by me maMesl except as Item 17a <br /> PrimeNT N <br /> (/ ,dlr <br /> 169_RLC-05 11977(Rev./Po9) TRANSPORTER #1 <br />