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ALTA ENVIMMENTAL SERVICES,INC. I <br /> 831 Davis St s <br /> *ax r <br /> W�, M.--.VacavffkNCA9:$$7- —- - 11111111111311 In <br /> - <br /> _ t _ ` (WO)744-27U <br /> r L-Not <br /> Generators US EPA ID No Manifest 2 Pape 1 <br /> NON-HAZARDO US - pPp cab l e Document No ofWASTE'MANIFEST _ <br /> t Generators Name"and Mailing Address 16419 E. chayr. ria 7 l St <br /> M t(j ca'l t-easing Stockton , Ca - <br /> Stockton , Ca . 35205 <br /> 4 Generator's Phoma 465-3609 <br /> 5 Transporter I Company Name 6 US EPA ID Number (4 p } 927-9321 <br /> fr _f3 t:zr]e Iruc,kinr 1 I [ <br /> 7 Transport.,-2 Company Name S US EPA ID Number <br /> 9 Designated Facility Name and Site Address _ -10 US EPA ID Number A Transporter's Phone <br /> f E a n d f'1 I ! , I ft G B Transporter's Phone I <br /> Hay '-load 1� �' ° C Facility Z761 ) - 451 -3276 <br /> Co <br /> m 11 •Waste Shipping Name and Description 12 Containers 13 14 <br /> Total Unit j <br /> No Type Quanta Wt Vol <br /> a l,�,f7- -���l,dr�us hyc3^pcdr�un 11Ttpacteo soil , ACC ENT 11 0 1 65 18 yd <br /> t <br /> WFJGHMASTER CERTIFICATE <br /> S IS TO CER TIFY that the following described corrrTiodify was wa4mcl,measured or counted by a wesgtimaster whose signature b on this certi"Ic who Is a rec finked authority of accuracy as prescribed by <br />«pier 7(commerwdW with Section 12700)of DrAsion 5 of the Cahlornla Business and Professions Code adnlnislered by the Division of Maasulement Standards of the California Department of Food and Apxu"ure <br /> t <br /> IE krlhnlitbiel -f ICKET M. 76699 <br /> fr I uiti-1! ;/ C1eweloplllent Co. DAIIE: DEC 1 , 1993 ` 8 : 34 : 13' <br /> e hod tj f:4�'b Hety 1"d Va.- av i l l Ia, ('.�. L omrnoci> t :G-�QIL <br /> �L UI)l 1 1 1 1 1-`t z t e tf,i i t - <br /> `1otal Charge : <br /> red-idered : 0 4541 <br /> I IF , \ 956N / I,40"ZiL1 Change . b0. [,'IJ <br /> 900 (11) t 1 alt _> ;IL 1 fjtit 1 07_ <br /> / iTailal;T:lo 1 'A", L; 1 "111 1 hb. A <br /> ----. A OcIt Ilci lr , kirk Lr.) t]I1NOV kIriLL <br /> Ti Li alt 11111 II J�9JILFIG L..Tf. <br /> DEPUTY HIEIGHMASTf=R <br /> 16 GENERATOR'S CERTIFICATION I certify the materials described above on this mandesl ore not tubie� ct— to fed al regalonons for repo er`disposat of Hazardous Waste <br /> i T Prs-,led/Typed Nome Signa7ore ` r Month Doy Year <br /> .t 11r� I <br /> 7 L � <br /> 5 r f-rr {� I t"3S-sr[ "� , <br /> I— <br />`� T 17 Ticinsp_orti-r 1 Acknowledgement of Receipt of Materials <br /> ` A Prinli.d/Typed Name Signal re Mon Day I <br /> p18 Transporter 2 Acknowledgement of Receipt or Materials <br /> i E Printed/TypLd Name Signature Maarh Day Year <br /> i, R <br /> I <br /> 19 Discrepancy Indication Space i <br /> 1} I <br /> A `t <br /> 20 Facility Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted In Item 19 1 <br /> s <br /> r <br /> ey - --- -- <br /> Printed/ ype Na ton u o e <br /> I <br /> n''HI 4 e i;l•< "•�tt .n � .'a..' ri F�1 rct3 � i <br /> �T <br /> TRANSPORTER #1 > ' �. t3 <br />