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+f��T I, A" <br /> -A ;-4, <br /> -,1 ��(/_ LL■r/�Y�r�J {v�,/i�.�1/.�(.r���/...._..-. <br /> Y .ae#?9N6krr H'"ti Iwi�� � w Vel �rfIVY/ <br /> {saga 7ea-Vase r- - ---_ _�-- -fit°_ - 3 M - <br /> � <br /> 4 � <br /> rl <br /> NON-HAZARDOUS ' 1 Cjqrggrytar'+�jS f �IQ as c <br /> Document 2 Page 1 <br /> WASTE MANIFEST C Ii�] f of <br /> 7. <br /> Is1q,��Seretsgs(Naricat 771',.1 Address 1649 E ' Channell St <br /> .,' <br /> 80,< '5 9 1 03 , '3tockton , Ca 95205 Stockton , Ca - <br /> 209 <br /> a _209 465-360S <br /> 4~nGCne <br /> 'rutar s Phone( ) <br /> TraTf,5r2j6-11 Cgr&anr On kb N YS ESA ID Number ( 4 0 8) 927-9321 <br /> 7 Transporter 2 Companyjjame. _ _ 8 US EPA ID Number <br /> r � <br /> q D ssip'ndted juc01g Napng 9n! Sde Ad?re� 10 US EPA ID Number A Transporter's Phone t <br /> 64 -6 Hay Road N A B Transportpp <br /> eJ�s�Phone <br /> C Facdt�,ty 0 ! 5 4 31-3 2 7 6 <br /> 11 Waste Shipping Name and Description 12 Containers v 13 14 <br /> Total Unit <br /> No Type -Quanta Wt Vol <br /> 4r! ii V caLardG+l.l--. tlydroc arborn zrrpaCted Buz l ACCEPT a Oil-E5 18 yds <br /> WFJGKUASTER CERTIFICATE <br /> IS TO CfRTIFY that the lo9owusg described carrvt,oaM was weighed.rneasur"or taunted by a","aster whom s+pnature is on this aedlicate whora a fecapnrzed aulhorsly d accuracy as prescribed by <br /> Ater 7(corruTIFY+ng theALh Section des d Division Sol flee Caklornra Business and proiessans Code administered by the tsnon of Measuiemenl Standards d the Caliornia Depadment oi Food and Agncutture <br /> i <br /> IL, zz I"iLKF-I NO. : 76752 <br /> ► i I.tltis,Ly lJr_ve ! upmEiT1 (. (;a. l�fa"11=: DLC, 1� 1�9 11 ::-a slDfi <br /> sylis tl u uta.=E; 11:y F�+j VGaoaV I L DesCoittlllcaci�t y :L'--SO <br /> I <br /> ll�li"I t ;, rt !' UnIt : <br /> 1 I i 1t, t Ic• I lilt l 1r111kC(lt / <br /> "fatal Gha1'ge : <br /> Tendered : 160. 01.1 <br /> f 3Ai I t I 1 � 1)5t £S i 1ItIjI 1A-1 Change : -0,`I. OLI <br /> s <br /> if I I t L <br /> ,r t 1. I <br /> i t �Ir,% �� �9LICtt Id. t hie l i i l_ 1, �,f lafY I lfiLL <br /> ppqq V g <br /> t 1 1 i i I!i i l . /11 i jai T 1S1Gf IAITU�iEt+. 1 1 sin I C i i+l» rV <br /> 1 t5" DEPUTY WEIGHMASTER <br /> 16 GENERATORS CERTIFICATION I certify the materials described above on ibis manefeii are not- t federal regulations for re q proper disposal of ltoxordaus Waste <br /> 3Printed/Typed Name Signature Month Day Year <br /> -iil 1 ,i~ N1 id C4 7 I_,~as ,ng 12 t; l 133 <br /> T 17 rionsparter 1 Acknowledgement of Receipt of Materials <br /> a N Prir�ie�/Typed Name Signature ` Month Dy� y <br /> S wjzz <br /> O18 Transporter 2 Acknowledgement of Receipt of Materials <br /> TPanted/Typed NameSignature Month Day Year <br /> E <br /> R <br /> 19 Discrepancy Indication Space <br /> i <br /> F <br /> I <br /> 20 Foality Owner or Operator Certification of receipt of waste materials covered b t is manifest except as noted in Item 19 <br /> T <br /> Y <br /> Pnn cS�-Fyped No Sign ur Manih Day Y r <br /> V_qA <br /> + �I <br /> TRANSPORTER #1 ��{_ <br />