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- <br /> °; r'r ALTA EN1nR�JQ�iAME■/I�■�T{Ai./syEAV�CE ,tNC. € <br /> i,. W1 DavLs SL <br /> V 'Ue,CA 96WR <br /> (8W)7"VW <br /> s n <br /> pA 1 <br /> `NON»HAZARDOUS _ 1 GqQ�r r'Pp I ID <br /> cb1 Manifest 2 Page 1 ` <br /> Wi4STE MANi�E$T Document No of <br /> 4 3trlgojr .rTa sVoilte 5 11 IIng Address 119 E. Channell 5t <br /> t- <br /> bo - 55103 , Stockton , Ca 95205 Stockton , Ca <br /> 4 ~Gene otor i Phone{ - 4 0 S) 465-3609 <br /> 5` Tran ter 1 C an Nome 6 US EPA 1D Number <br /> ft 5„��Ura{°S 1� ruck-rna _ N / A _ (408) 927-9321 <br /> �l 7 Transporter 2 Company Name 8 US EPA ID Number <br /> + 9 Desi ed au I Na a to Ad ress 10 US EPA ID Number A Transporters Phone <br /> i & C'��� Il �� nC B Transporter'sPhone <br /> 3 J r_6 113y Road N / A Facrlr 's Phone <br /> Qa :aviile, Ca 707) 451 -3276 <br /> ' <br /> 11 Waste Shipping Name and Description 12 Containers 13 14 <br /> r, Total Unit <br /> No Type <br /> Ouantity Wt Vol <br /> i4� 114r,1, haizarctotis hydrocarbc;n ifftpacted E,0-11 , ACCEPT # o11 5 78 yds <br /> WEIGHMASTER CERTIFICATE 1 <br /> TIS IS TO CERTIFY that the following described cormwdity was welpFred measured or counted by a we,ghmastar whose sgnature is on this cerldleate who Is a recognEzed authordy of accuracy as prescribed by <br /> iapter 7(commencing with Section 12706)of Dfwsian 1i d the ! forma Business and Professions Code administered by the Division of Measurement Standards of the California Department of Food and Agncuhure <br /> vJt�rtlfiiris�i Lsi TICKET NO. 76723 <br /> -°lj - i ,1rti+t-y Develupment Ca. DATE . DEC , 1, 1.993 l00L9 :4,ei <br /> )e :LLI ,aiI f' •i--6 lla- / Rd. Vr: c.:%vi lle, L'tit. Commcadi ty :C--SOIL l <br /> {)t )IJI 1E'r, t1 /1Jr►1t ; <br /> ft t_1lV tlt 'fJf1t1 lll7t3['f-1 r_ <br /> r J,1 I41 J +r i Fct_!_ r l Dtal Charge <br /> Tendered : 'iio. 11 <br /> Illl f 1{ 1 l I t , �3 aGf� 4nt�Ftl�tt�t Change : . 4ni�i <br /> i <br /> / C, itir30 (111) C!1 tt�, s 1Jt Ak,liL l b3. <br /> I' ) �_ C1 rat l' Wt ir,Sr� <br /> Ht 1. LJc j i,irL Lbs. it,MV BORDEN <br /> Lnk+ r itt_4' Hij ,_C QI( <br /> DEPUTY VyfkGHMASTER rj <br /> _1 <br /> 16 GENERATORS CERTIFICATION I certify the materials described above on flus manifest era no sub <br /> '�adr federal regulaisons for reporting proper disposal of Flosardous Waste <br /> dr <br /> Pr,nfed/Typed Name 5rgn0tke Month Day YLor <br /> FC,r' Mid Cal L_aasing � �� 2 101 )ti � <br /> T 17 TransporfLr 1 Acknowledgement of Receipt of Materials Y I <br /> APrinted/Typed NS G Signalur Monr Day ye � <br /> r IP 64 V <br /> O 18 Transporter Acknowledgement of Receipt of Materials <br /> r R <br /> � Printed/Typed Nome Signature Month Day Year <br /> R <br /> 19 Discrepancy Indication Space <br /> F <br /> A <br /> 20 Facility Owner or Operator Certification of receipt of waste materials covered by this andest except as noted in Item 9 <br /> T ---- — i <br /> Y � ,rt <br /> Peed Nom ,Y � i natu ,. �/ mono Day y4pr <br /> YtCiFi�w k lS �i� WNW <br /> Fw� �I <br /> b TRANSPORTER#1 <br />