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<br /> ALTA ENVIRomtrzNTAL SERVICES.INC`
<br /> - --- --831 Davis St. {
<br /> V CA SSW
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<br /> S 2
<br /> ' > Manifest 2 Page )
<br /> = NON-HAZARDOUS ' G�F0 °r Pp'�" �, I Document No of$
<br /> r .r WASTE MANIFEST
<br /> 1.
<br /> 3tvjCe&cttarprciTs dd4v%rArgAddress �� 1649 E Channell St
<br /> 6o, 55 103 , 5rocktc,n , Ca - 9 520 5 Stockton , Ca
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<br /> 4 Generator's Phone( 209 465-3609
<br /> StTran?ctisrj� gonIfll king d N , A ID Number /408) 9x7-9321
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<br /> 7 Transporter 2 Company Noma 8 US EPA ID Number
<br /> 9 Der a'ed ocrJr Nargerand to Address ID US EPA ID Number A Transporter's Phone
<br /> t, d Q L dr,C3T l 1 Inc
<br /> 8 Transporler's Phone
<br /> t -, t 26 H5,,, Road N A
<br /> C Faults Phone
<br /> Vit \ acavllle Co 707) 4S1-3276
<br /> i 12 Containers 13 14
<br /> ` 1 i Waste Shipping Name and Description Total Unit
<br /> No I Type Quantity Wt Vol
<br /> 1,
<br /> 9�c,1:-ttaz� dolts hydrocarbon lmpaCred i5oi 1 ACCEPT it 01 165 18 yde
<br /> WEIGHUASTER CERTIFICATE
<br /> HIS IS TO CERTIFY that the Iolowng desubad corrrnodity was welsyseel,measurad,or towled by a weighmasler%hoe*sfpnature Is on this sertificale who b a recoWLzed aulhorry of accuracy as prescribed by
<br /> "hapter 7(commencing with Section 12700)of Division 5 of the California Business and Pro(essbns Code KImInalered by the-Dwision of Measurerneril Standards of the California Department of Food and Agriculture
<br /> 1. t. 1 i l.,KE 1 NO. z 76743
<br /> rr x l uilllty ))evL- 1c,P,eneTkt [,,u. OATS: DEC , 1, 19133 11 . 3t-)
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<br /> r1 3 i 111J 1 �: I lol I 1401 f'f it !� / / J
<br /> �_ -total Ch,.Al^qe :
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<br /> t%1 l endered : C-1, x
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<br /> _l '.0130111 Hr_ t 0, 1lilt Ltjj: '_,0NDY FRILL
<br /> A l i 13 i r t i i 1 t i :1 jQR`VEB1 IGN)Ttff, DEPUTY VJEIGfiMASTER
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<br /> lh GENERATOR S CERTIFICATION I certify the moter,ols described above on shin manifest are notcr ts, fe of regulations for reporting proper disposal of Hero rdous Waste
<br /> Pnnled/Typed Name SignatMonth Day Year
<br /> t�1r�t1C 31, Mid Ca 1 Leasing ure
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<br /> T 17 Transports 1 Acknowledgement
<br /> of Receipt of Materials
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<br /> Pnnled/Tame �w—� SignaFu[a M fh 0 Y r
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<br /> O IS Transporter 2 Acknowledgement of Receipt of Materials
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<br /> � Printed/Typed Nome Signature Y Month Day Year
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<br /> 19 Discrepancy Indication Space
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<br /> 20 Futility Owner or Operator Certification o7fi receipt of waste materials covered by t manifest except as noted in it 19
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<br /> "t"M1, d'441 d
<br /> -1 TRANSPORTER #1 ='"t, ' ;•
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