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2- <br /> ALTA ENVIRONMENTAL SERVICES, M � <br /> --�=- --4- -- - - - -- - - _ - -631 Davis SI. <br /> � � •kc} ty iGuessrS �` tf Vacr1ffiavt%CA OW7 e� <br /> rrkirtoE T i�tt t \8Wl ""768 t <br /> 5 <br /> °NON=HAZARDOUS° I G�8Tor:Q PS EEPt In N2 Manifest 2 Page 1 3 <br /> WASTE MANIFEST, e b Document No of _ <br /> 3 lvf�era�o�s�Joi�epr�drlrrtn`�Address 1649 E C h a n n e l l St <br /> Befir 55103 , Stockton , Ca - 95205 Stockton , Ca <br /> 209 465-3609 <br /> 4 Generafor's Phone( ) <br /> (t1 r <br /> S Tran1 an Nome <br /> 6 U EPA ID Number <br /> F. C.�,=I�°�'� 1`i r t_(c k i r1 gfJ A (4 D 8 ) 92'7-9321 <br /> ' 7 Transporter 2 Company Name 8 US EPA ID Number i <br /> - 5 <br /> 9 E De�lgn�ted ycl�yaNarr .,pnd)Sle,Adtess 10 US EPA ID Number A Transporter's Phone <br /> T G1 I tnc B Transporters Phone <br /> rr� 6 Hwy kc,dd N / A fM 451- 3276`4- C FaaG s o <br /> ' V41nn s i I I e Ca <br /> 5 <br /> 11 Waste Shipping Nome and Description 12 Containers 13 14 <br /> r Total Unit ` <br /> i1 No Type Quantity Wt Vol I <br /> 4 1 atJ' 1 -tics t ardCLJS hydrocarbar, 7 rrlpact ecl :of I ACCEPT -# N01 1 55 1 R ydS 1 <br /> WEIGHMASTER CERTIFICATE <br /> IS IS TO CERTIFY that the following described comirnodlly was wseiphad measured or counlod by a weptmaslar whose signature is on this carttiGate who Is a recoprslsed authority of accuracy as preacnbed by <br /> a plot 7(corn nencing wish Sectt)n 12700)of Division 6 at the Calitornta Buakwee and Proleea,ona Code adininWerad by the Division of Maatilumment Standards of the California D"ritir m of Food and Agriculture <br /> t <br /> le1gIiislrk1z1, L-Y' . FICKEr i\jo.': 76711, <br /> 1r, 1 ( i+,IIIty C)eVisIC)[)Ate11t Co. DATE: DEC 11 1993 97` .02 f <br /> Jelylircl t11 tr't b IIty Rd VLACa V 1111- Ca. CatnInndiIy .0- S(IIL <br /> :1 i 1P,"II 'JIM IJ NIL IHI_Xi)_ �) P/ <br /> i-S t 1lifrr `. Ilc!_L- I rotas Charge : <br /> 1 <br /> l erlder�ed $iG: l. IL 1,J <br /> I <br /> I11�lit' VI L y \ 9��f7t'r �trtt l_t Cha nge [fief <br /> L <br /> L'i30.;1 I ill if (r)t , t1111. L 155 <br /> 1(31-)Elit Hi,L lift iiCst LI,,-.. SF11J11`t FIAL_L <br /> DEPUTY WEIGHMASTER <br /> r <br /> 16 GENERATORS CERTIFICATION I certify the materials described above on d- manifest are not subles Io f0jwl regutangns for reporting proper disposal of Hazardous Waste <br /> 1 <br /> Month Da Year i <br /> kt —Printed/Typed Name Signature - Y <br /> -` t r r ti11J f -, 1 Lea�3-1ng ,y�G � ; € : rt 93 <br /> If T 17 Transporter 1 Acknowledgement of Receipt of Materials (� <br /> 7 <br /> R <br /> Printed/Typed- Pnfed/Typed Nome Signature Month Oay/ Year I <br /> N <br /> S _ <br /> P - <br /> R 18 Transporter 2 Acknowledgement of Receipt of Materials <br /> f <br /> T Printed/Typed Nome Signature Month Day Year <br /> E - <br /> R <br /> € _ 19 Discrepancy Indication Space <br /> �[M <br /> 3/vJ F I <br /> 1 <br /> E 20 Facility Owner or Operator Certification of receipt of v/aste materials covered byt,,manifest except as noted to Item 19 <br /> }dd I <br /> T a <br /> t• Y --�0 yped Nam n nth Day a r� }r 1 <br /> CAN% <br /> TRANSPORTER #1 <br />