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T <br /> fo--- f•,- _--M- -_ti —,_---ALTA ENVIRONMENTAL SERVICES.INC._ <br /> 831 Davis SL <br /> Vacavft CA 95iiil 11i <br /> W <br /> ��I 14 <br /> t (soa)Asa- sa <br /> fFa►M 6prltb( 4 <br /> 1 G r or P p N Manifest 2 Page 1 <br /> NON-HAZARDOUS t�f'g� A r P�a�b 1 e Document No of <br /> WASTE MANIFEST <br /> 3tVlCirlrjerTarst,}ares&��hh� v Address <br /> 1649 E. . Chartriell 5t <br /> +� C; City 65100 , Stockton , Ca 95205 Stockton , Ca <br /> 4 Generator's Phone{ 209 465--3609) <br /> 5t,Tranea91L�rd 0;IN?any I�938 k i n g G N l;S EeA Ip Number (4 0 8) 927-9321 <br /> 7 TransporteJr 2 Company Name 8 US EPA Ip Number \ - <br /> 9th De�)4�tRfedy�actlitY f latlt�q�td Spe Ad�rAsL 10 US EPA ID Number A Transporter's Phone <br /> i 1.c7 f7 Cr i B Transporters Phone <br /> V'iCaVtllE' Ccl C Facsht '}P9f 451-3276 <br /> ` 1 1 Waste Shipping Name and Description 12 Contamer4 13 14 <br /> Total Unit <br /> ' No Type Quanta lwt/Voi <br /> 9Joit-hazar (lcwv , hydrocarbon impacted soil ACCEPT #- 011 f 5__, _ - - 18 yds <br /> WEIGHMSTER CERTIFICATE 1 <br /> HIS IS TO CERTIFY that the tolowrng described Dorn oddy was werghod,measured or taunted byy a weigFrrsasler vrtioee nature Is on this cartf"le who la a recognlied authority of accuracy as prescribed by <br /> haplar 7(camtnenang vnlh Section 12700)d Drviswn 5 of the Caklornia Business and Professiona Godo edminutatad by this isPon of Measurarttant Standards of the Callomla Department of Food and Agriculture <br /> Wel J1iw t5t L 0 FILKF_T NO. 76754, <br /> Fri i olllll y 0eve l opment Go. DA1 U; DEC 11 1993 1 z16 3: 4., <br /> �:JLsT _Iilsti it f [Lt ilay RJ. Vac�itvi. 11ey Ca. Cclwwt)dity :C- )OIL <br /> it i hath I >4/ gala r iaUF�f«AI_//I <br /> i c> 5 1 l.L t f / / 7 at aI cr;,.wge <br /> Tender-ed : <br /> "(ir.. i ill l_ L t ` fii n" OrE Ot,l f Chanty e : Q1 'rlo <br /> 30fI lyricL It,'-j <br /> 1)040 (r1) Gi (-;c lltr s 1jltt Lb�_. <br /> 1314(77 cal L).. 1 1.11 at, L11 <br /> ` -49,3 00 14tA ;Jt L IJ11 L LL,-�. M)NDY 1 1ALL <br /> T 1 Ls it,4 tU �IGN/�TUa« l 1 t_4-1' 6` ri <br /> DEPUTY WEEGHhAASTER <br /> lb GENERATOR'S CERTIFICATION I certify the matenols dascnbed above on this mandest are sub eyl f0 Iederal rq pulnnons For reporting proper disposal of Hazardous Wmie <br /> l'nnted/Ty ed Name Signator Month Dar Year <br /> < <;crtr 3r A C 1 t_ _asing <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> NPinned/Typed Name Signature <br /> S <br /> P - <br /> O 18 Tionsporier 2 Acknowledgement of Receipt of Materials <br /> TPrinted/Typed Name Signature Manrh Pay Year <br /> E <br /> R <br /> 19 Dis,repancy Indication Space <br /> r F <br /> L 20 Foolity Owner or Operator Certification of recesp7 waste materials covered by this anifest except as noted in Item 19 <br /> I r <br /> T <br /> Y I' /TY ed N Signator M r 0"a)) <br /> LIU Alr <br /> 1 5 <br /> 0 s TRANSPORTER #1 L4 r <br />