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E r A > T ALTA EWRONMENTAL SERVICES.M i <br /> 831 Davis St. - <br /> VUSVM%Cpl 95M '� t <br /> , ." .~r {84-794-2788 <br /> JF0j#ki ar�fl.d uefl 12 i <br /> NON-HAZARDOUS" + G¢ierator's US EPA ID No =D-=-.nt <br /> fest 2 Page 1 <br /> M1IrJt /q�sPI �c4y��leNo <br /> WASTE MANIFEST of I <br /> Mailin !n! <br /> 3 eiertail orfsariasin" Address 1649 E Channell St <br /> n' rl �_� tl L.- CCTT I <br /> I' t) 80,', 55103 , Stockton , Ca . 35205 Stockton , Ca . <br /> 4 Generators Phone( 2 0 9) 465-3609 <br /> i Trans orter I C m an Name 6 US EPA ID Number <br /> }, R s atl�rq ' rut N / A <br /> (40$) 977-9321 , <br /> 7 Transporter 2 Company Name 8 US EPA 1D Number <br /> � t <br /> 9 Desrgg�oled FocJttr Name.and$de Address 10 US EPA ID Number A Transporters Phone i <br /> t c�f t fj 1 !tl Il c7 T ) i I , <br /> Inc - <br /> B Tr4nsporters Phone <br /> �•I b His'! R,�a%I <br /> r� Jr A C Facility's Phone 's <br /> (707 ) 431-3276 <br /> I I Waste Shipping Nome and Description 12 Containers ; 13 14 <br /> Total Unit <br /> No Type Quantity Wt Vol <br /> Ydcr, haz=i dales hl./drocarbon IrtpaCted azl , ACCEPT _ 4 011r- 5 --- 18 yds <br /> y WEFGHKASTER CERTIFICATE <br /> IS r0 CERTIFY Iha!Iris foltowr+p lose rd.orrvttodtly wen weighed t»aasgred Dt carr why a weptmaster whose sfanature]a on Ihts cerlltca[e who is a iZuthority of accuracy ee rose by i <br /> fVer T(WrtYli�tYCi„(t with Section 1270())d Dtvuron 5 of the Ca4tornle f3ustnesa sed Code admin6lered by Iha inion d Measurement Slarsdards 01=111=1 Department of Food and Agriculture f <br /> 1-1 C,1«-I N(I» 76707 —S <br /> t I LV 1)PV4- 10I:rw(IC-1l. (aa, DOTE: IIF_C 1, 1093 a.',6 :Z—S I <br /> i ,;lit 1 Ir' # ►� t kl ,y tier. Vacavi l l i:2, Ca» Commud3- .y :C:-501L <br /> IUlkt - 1.3 st ) ] /` P' LJ T-) <br /> k I sit R x'10[ I IAtItCAL_ 1 � <br /> t N I f3 �1 (hal�IlfS : <br /> rend el ed '114" 0tii <br /> I�( tlsl 3l LI t_ , `3;Ern/ I1Iljttr_Ii-1 r-hange W. wo <br /> �y 1 <br /> � ( { _ 7 I•.�4'tr_ri41 CI`1) i'r,'G � 1! � Ilfit L_l�s» <br /> I ,.,i e Lit J tlfst Lia <br /> ".0 ,FITC, Nes t, W, e qht Lbs. llo d IDY I IAI-L <br /> a <br /> rj <br /> t . t 1Z��� 1 (SIG T ,. 1 , t tl_I t a c, c L1f f DEPUTY WEIGHMASTER <br /> ib GENERATOR'S CERTIFICATION I ccndy the materials described obore on ,hu manifest are not su lett to f eral regulations for reporting proper disposal of Hazardous Waste <br /> Pnnt,d/Typed Name Signature Month Day Year <br /> „ t r 7 P4I i �l i�r5 i L acs I IZc1 /� /G`- f 1 <br /> T 17 Trompa,ter 1 Acknowledgement of Receipt of Materials <br /> R — <br /> A Printed/Typed Npr�srye Signature - Month Da Ypa <br /> 0 16 Tronsporter 2 Acknowledgement of Receipt of Materials <br /> 1 <br /> 3 E PiiittLd/Typed Name Signature Month Day Year <br />, R <br /> 19 Disuepancy Indicoi on Space I <br /> I <br /> I <br /> F I <br />' A I <br /> 0 Futility Owncr or Operator Certification of receipt of waste materials covered by t s manifest except as noted in it 19 <br /> t <br /> l P'yylisd/Type e' e o y r ol <br /> -^f� <br /> k r li ll�u"9 }f�W1 ' arSF;1C g 1 F L i 7 <br /> $1{ fvt g ) r t 92- l <br />:: i ,r'�c a. WIX, �t TRANSPORTER #1 � � �� k� <br />