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ALTA ENVIRONMENTAL SERVICES.INC. �1 <br /> 4 4 <br /> 831 Davis SL <br /> • <br /> (8"794 <br /> 1 nerator s US IDN Manifest 2 Page 1 <br /> .�' NON-HAZARDOUS �f a t A pp��c `� I Document No <br /> r ` -WASTE MANIFEST °f i <br /> ]_ Gtsert1Q�r j,Nc�,mhj;id Mailing Address <br /> Isk 1 1549 E. Channell St <br /> +� BOA 5� { Q3 . 'Stockton . Ca 95205 Stockton , Ca <br /> 4_15 enerator's Phone( <br /> - 209 y 465-3605 <br /> ' <br /> Tro oto 1 mpa Name b }}S EPA ID Number r <br /> �2 4� �� roP+~ `rucking N , A (446 ) 927-9321 <br /> 7 Transporter 2 Company Nome 8 US EPA ID Number <br /> ggY post n ted Fa dd No onr fete Address 10 US EPA ID Number A Transporter's Phone <br /> LS [� L S F`t i7 T l f 1 i n C 8 Transporter's Phone <br /> p 1 G 6 H a y Road N A C Facility's Phone <br /> V'CavTlle , Cat (707 ) 451-3278 <br /> Ih 41 Waste Shipping Name and Description 12 Containers 1I <br /> ' Tota Unn fit <br /> j <br /> ' No Type Quanti Wt Vol <br /> A6 <br /> ' N ,n -hazardous hydrocarbon impacted ,o-i I , ACCEPT iL 01165 is yds I <br /> a n <br /> •` r ''t f{� ,, • r WIEIQFAr1118*21 <br /> ffnhCkMIS 1S TO CERT >trot the Toho'� dascribe,eart 1!yaelar wfwae�{pnef�ra is on!tom urtil{caie who is•rscognlXed authority of ecce as rtascrsbedapler 71 %Mth Section 12700)of OMaion 6 of the GalHprn uairsnas a (Prole s Codn3atarad by I74e�lv{elors of Ideasuier enl Standerda o[tM GaEiforrsl�papar4nenl dFood and Agrfcutturre <br /> r0 - <br /> 10 1 L1I 4 fu,x t,f,Cl r i r I I CKE 1 7671210 <br /> it-1 t ',i4nty Development Co. ' t D" rl_ : DEC 1, 149s 8;54 :23 <br /> :deighud I G» ic_'6 Hay Rd. Vacaville, Ca. Canimo dity :C- SOIL <br /> =1CCOLti,i I : is ,I IIt-ic_R/Unit « <br /> lot <br /> ,4Stttpr, !! / 'rotal Charge : <br /> J -rendered : 0 Iro <br /> J�li'litt I I L L_ , \ ')-,JL is I 00,016 Change <br /> l� <br /> f '44 00 (Irl? lr4'C,,,L Uk ] L11 it LG5. <br /> 59ic'icy i tli~t_ UL , 4Iht L Lis. <br /> t'-180 WL t Wt s <br /> 111 it. 1. t_r5. bfs[IDy !{FILL <br /> �q�L_l7'p�?✓. ..—� <br /> ISiG ri <br /> DEPUTY WEIGHMASTER <br /> xy <br /> � ib GENERATORS CERTIFICATION t certify the materials described aho.e on this manifest are not subly"e7 to Feder rcqulations for reporting proper deposal of Hazardous Waste <br /> �Pnnsed/Typed Name Signature Month Day year <br /> T 1 J-Transporter 1 Acknowledgement of Receipt of Materials <br /> t A — Printed/Ty edName Signature Monllt Day Year <br /> to S � <br /> P <br /> $ p 18 Transporter 2 Acknowledgement of Receipt of Materials - <br /> T Panted/Typed Nome Signature Y Year <br /> Month Da <br /> E <br /> R <br /> c <br /> 19 Discrepancy Indication Space <br /> �5 <br /> it <br /> F <br /> A <br /> C <br /> 20 Facility Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted to Item 19 <br /> T <br /> Printed/Typed Name Stgn a Month Day Ye <br /> 1 1} I <br /> TRANSPORTER #1 <br />