Laserfiche WebLink
'4k�zfd f <br /> ����++++ ALTA <br /> E—N—VIRONMENALS .,INC <br /> r-831 OffM SL <br /> t Vie,CAw/�/.ar�S ! <br /> i 5 <br /> 794-ZMS <br /> NON HAZARDOUS ` 1 c ,©ttar us EPS to No Document 2 Page 1 ' <br /> WASTE MANIFEST p &6 of <br /> pyo <br /> t 3p �Jje'L a-Nog a o.nd ,ail Address N <br /> 4a 1649 E . .Channe t "I St <br /> �) lc,r 55103 , Stockton , Ca 952J � Stockton , Ca <br /> i4 GLnerotor's Phone( ' 09 4 5-3S <br /> 3 Fra r 1 Com Name 6 US EPA ID Number r <br /> F< " `Son`er I ... � ruuking N / A - (408) 927-9321 <br /> i7 Transporter 2 Company Name 8 US EPA ID Number <br /> 9�Desrgn9ted FaclltEya r.g*col$rte Adf rens 10 US EPA 1D Number A Transporters Phone f <br /> t J L I I r 1 11 G B Transporter's Phone <br /> 7 l .}o Hcikr Road N / A C Facilry s Phone <br /> 'j sraCdrl IIE-, Ca (707 ) 451-3276 <br /> 12 Containers 13 14 <br /> € 11 Waste Shipping Name and Description <br /> Total Unrl <br /> No Type QuantityWt Vol <br /> r" 14-," -hazcLrrd0Lls hydr-01.arbon Impar-rad call , ACCEPT . #t 011e 5 113 yds <br /> WEIGHMASTER CERWICATE <br />,SIS TO CERTIFY that the following described cr:ttrriodAY was r,elghed measured or counted try a weigh nasler whose akanature is on this eertilleale who fa a rec�,ognlzed allthOrty of accuracy as prescribed by <br />,IS Ier 7(commencing t with Section 12700)of Durston ti d the Calilornla Business and Professions Code adntnetered by the[-raison of Mteasumment Standards of the Coldornia Department of Food Lid Agriculture <br /> s <br /> i i(.t;ti 1 idly s 76 710 <br /> iyc vt loptlpnt Co. DATL : DEC, 1, 1 393 9 :54 1�r <br /> i,, fi-kcC Hay Rd. 1Jaca �I` 3. 11e, Ca Lominodity : (,-SOIL <br /> �l�ltll x;..� , f � �� f r~.il_ f'/LJnz1. : <br /> ri � I ;SIi fi ,lr{lrl I(11t71.(;L J � <br /> Total Charge : <br /> Tendered : $+L1 I<^14 <br /> Change : IZf. 1.30 <br /> r. <br /> 't� <br /> l _AeE w_0 1 st e Gtr t i1i t L <br /> 1' 1� Fts,C,L=4i k It t t1r , ISI r s l_ ki «,I,IHDY HALL <br /> rj <br /> 1 it t t i i e t 3 1 II�R�c�G ITU E s Tj r t"I f i r 1 L DEPUTY WEIGHMASTER <br /> 16 GENERATOR'S CERTIFICATION 1 ceridy she materials described above on this maniFess are not ubled tom derol regulations for reporting proper disposal of Hoxordous Waste <br /> r <br />"+ Pnnfed/Typed Name 9gnatu/r9 / Month Day Year I <br /> t -1 Mid 'Ial Leay-in.f L ' � G �c�� 2 111 b 3 I - <br /> T 1/ transporter 1 Acknowledgement of Receipt of Materials 3 <br />£ f1 <br />� A Ptmied/Ty d Nome Signature M nth Day n* <br /> IN <br /> S <br /> Q18 Transporter 2 Acknowledgemen a Receipt of Materials <br /> w� T Prinled/Typed Name Signature Month Day Year <br />,e E <br />"„s R <br />+ 19 Discrepancy Indication Space <br /> c� <br /> 4a i <br /> — II <br /> 20 Facility Owner or Operator Cerhficotion of receipt of waste matenols covered by t manifest except as noted in Item 19 i <br /> I <br /> i3l Y Prince Typed Na—��— <br /> Signa is <br /> Mo h ay 4e <br /> UW 41i R r2la, �f nl µ TRANSPORTER #1 t Ufa <br />