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2 <br /> _ ALTA ENVIRONMENTAL.SERVICES,W- <br />- =831-DavlsSL <br /> `ter �,.,�yp /�� ��.p� <br /> 1~r s^ cis"► _f, f s acav"CA SSW <br /> (WO)7N-U68 <br /> ti7ei�nad ``� <br /> S z NON-HAZARDOUS 1 Gep�O tar's�15��P�!D O&b I� =D- ntsNo 2 Page 1WA�ySTE'MANIFEST ! C Aof <br /> „ 3 I pmerai�sr'S fam�0.dn� 1Gld�rg Address 1649 E Channell cJ t <br /> s P il _ i3aA 55109 , Stockton , Ca . 95206 Stockton , Ca <br /> } 4 Generator's Phone{ 465-3609 <br /> 1 <br /> S FTranstz94�Tt 6Co,rsl,pgny V0ZfC 1�7 b t, USt EPA ID Number ( Q 6} 927-93 21 <br /> 7''Transwrter,2 Company Name 8 US EPA ID Number <br /> 9 est d F nl jJ rid i Add ens 10 US EPA ID Number A Transporter's Phone <br /> B <br /> `,4 >8 l-i a y Road N ' � Transpartp 's Phone <br /> er <br /> vboavi l ler Cc$ c Fouhty�sPh�r1g) 451 --3276 <br /> 12 Containers 13 14 <br /> 11 Waste Shipping Name and Description •' Total Unit <br /> No Type QuantityWt Vol <br /> at,1c,n- haz_-r,dcus hydrocarbon impicictea F,011 , ACCEPT - 4 01 3 5-- - - µ - 18 }d <br /> WFJGHMASTER CERTIFICATE <br /> HIS IS TO CERTIFY that the following dasarsbed comriwditY was wafghad measured,or counted by a waVisnaster rshoea s nature fs on itis urtilkata wfw Is a recopnlzed sWhony d accuracy as prescribed by <br /> hatter 7(commencing with Section 12700)d dresion 5 of the Caldomis Bussnew.and Prdfe <br /> esons Code admtrialared by the d Wteasureistsenl Standards d the Calilornla Department at Food and Agriculture <br /> 61t= lt,1tillrZSIs_i i -kiCM—T NO. r 76747 <br /> "lr > t cl:fnL�, DLVL .OP.1le11t CU. DEC 1119' 3 it:a.'; 4f3 <br /> 6l; a111 ,: cl b1tr'C' llay Rd vacavill.e, Ca. Commodity :C--SOIL <br /> ( t11t11 : 1�-7 Pr�ica/Unit : <br /> t i f I L l alt S rd. IJ()l I IVl1(t(_riE <br /> Total Charge s <br />} <br /> Tendered <br /> � J (I . ►J. >.1�� <br /> .f1C_I� J ! k t t , 9u,r is. 1�50LZIp 3 Charlr�e : �u1. 41 till <br /> atilt ii i.l, 11_ � <br /> /) 314flit- (til) 01 t,:i � lJt � ClltL Llys. <br /> , 111 t 1r L b . <br /> HE 1 L) 1 ,I,t Lias �t,IVD>r HALL <br /> - <br /> � <br /> QRrj <br /> IVE19jf1GNfiTL1H�rY. l r`i l I i 1 t� l.65 DEppVTY WEIGHMASTER <br /> 1TrC,r,ilri 3 :i S 1L t_1 <br /> lb GENERATOR 5 CERTIFICATION I certify the materials described above on his manifest ar ria le 1, derol regulahaos for reporting proper disposal of Hazardous Waste <br /> Printed/Typed Name Signaiure Momrh Day Year <br /> fs.� ri(��I'1 1: 1-iJ f t`i't d Ca I L.e a w-1 f 9 3 <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> R <br /> A d-- / <br /> Prim �T pehf , S,gnatu �n <br /> N Cd <br /> r_ <br /> S <br /> P <br /> O 18 transporter 2 Acknowledgement of Receipt of Materials <br /> TPs,nted/Typed Name Signature Month Day Year <br /> E <br /> R <br /> 19 Discrepancy Indication Space <br /> F <br /> A <br /> l 20 Facility Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted in Item 19 <br /> T <br /> Y <br /> p TPri T ed ame Si oo re �7 Month Day mar <br /> 11z (/ flf <br /> lr tI,�ES-Lk?{'ae;�nI ,e ar } ' I <br /> e 1 „' <br /> f .,_ U4 uihtl 1 . TRANSPORTER #1 � <br />