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t �ti r <br /> ALTA ENVIRONMENTAL.SERVICES.INC. <br /> 831 Dahl*St — --� - - -_- - ---- <br /> --- -- <br /> zO ,t VscaY�9 CA 98687 <br /> i <br /> ��M t �00)7&L-2788 ' <br /> r" I <br /> NON-HAZARDOUS 1 Gp_nEe3rtar' u�swE�A,DC�a�lE Manifest 2 Pagel <br /> WASTE MANIFEST 1VV Document No of <br /> 3 Gc er ors la[pe and Mpihn AddressLCCarTOn1 <br /> Nt� a 1 -Leasing 1649 E Channell St <br /> 60,- 5103 , Stockton , Ca 95205 Stockton , Ca <br /> t <br /> 4 Generator's Phone( ?0 9) 465-3609 <br /> 5 -Tran orter I C m an Hama b US EPA ID Number <br /> 1 au�r�� ruck-incl rt / (408) 927-9321 <br /> 7 Transporter 2 Company Name B US EPA ID Number y <br /> t� <br /> 9. Designated ocildy Nag on ile Address 10 US EPA ID Number A Transporter's Phone <br /> 1 :S µ1 1 d L c.I t CI t 1 I n C . B Transporter's Phone <br /> 64 ?6 Hay Komi 14 / A <br /> rr `, V 3 e r C 6 C Facility's Phone <br /> {707 } 451-3276 <br /> c1a 13 14 <br /> 11 Waste Slopping Name and Description 12 Containers Total Unit <br /> rAy <br /> No I Type Quantity Wt Vol i <br /> - hri ardi_;Us hydrocarbon Tfrtpactr o .c U I = , ACC EF i 9 0 11 t 5 18 yos <br /> �,n t <br /> I <br /> WEIGHMASTER CERTIFICATE J <br /> IIS IS TO CERTIFY that the lopowtnp described corrtrrsodity was,.ei¢sad measured,or counted by a neighmaster whose apnature is on the cer111cate who m a recopruzed auFhorpy of accuracy as prescribed by <br /> ,speer T(carr rrenung vnlh Section 12700)of DMttion 5 d ttsa Cal,fomla Gutsiness and Pralesstorte Code administered 6y tlse Dnr,swn of IAeaswerrwnl Standards of the GElforitse Department of Food and Agriculture <br /> = 3ljlltl t�LE 1 `I It,1%Ef 1140. : 76715 <br /> ! 3 l ., Olt"? 01sVe lopmerllu Cu. UAII;.: DLC: 1, 1993 38: 1�i <br /> 100 lfltt �J lei �r,r'#_ Hay fit_!. Vacav3 i fes Cit. Comrtlod.Lty :C- aOIL <br /> 1 11)i 4 l . a ,7 1-1, 1.f_e un it : <br /> t11._ ltI t si': JN/1I(IN I)(McN- r <br /> I RL-I- I )A) <br /> r f otal Charge : <br /> l endered : to. 00 <br /> 9tjoll / 01011t._t O Change : ISI. LiQ1 <br /> 3(j I I It IIt II 1 t_'t <br /> i Os 1_0 (11) hr Ef a '!, f I#I,I I b'S. <br /> t""160 icii L_ IJ, ' t}Ii1, I bb. <br /> Iq'=! + Ot II'l't I_fif> llltib r WILL <br /> 1 1 i f,t,i t i t I . ( RIVER l F IG LSE I I ] r_1 L I-' I i _3 �h ` DEPUTY WE*HMASTER <br /> 34 16 GENERATORS CERTIFICATION I certrfy the materials described above on this momfess are not svib1po to fyderal gulattons for reporting proper cluposol of Hazardous Waste �1 <br /> y Printed/Typed Name Signature Month Day Year <br /> { t3 rs 1 f i C / f/�iI''�v'r 12 rJ a '1 3 J <br /> 4 <br /> T 1/ Transporler 1 Acknowledgement of Receipt of Materials <br /> 0 A Punted//Tvgd�pame Signet �Y Month Day Year <br /> pla Transporter 2 Acknowledgement of Receipt of Materials <br /> T Printed/Typed Name Signature Month Day Year <br />�4, A <br />!3 Y 19 Discrepancy Indication Space + <br /> I <br /> F 1 20 Facility Owner or Operator Certification of receipt of waste materials covered 6y a manifest except as noted in Item 19 <br /> i� V -- -- <br /> f anted T <br /> 1i / Ype Name Signa re Month oy ear { <br /> r <br /> TRANSPORTER#1 <br />