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r r ALTA ENVIRONMENTAL SERMIM Va <br /> ig <br /> Vacaylk CA 9W7 <br /> (81M)794-2760 <br /> � w <br /> NON=HAZARDOUS 1 enerotor' U$E A ID Na Manifest 2 Pope 1 <br /> WASTE MANIFEST °� ���'� ��'"�'�� Document No of � <br /> ser 1 is No a 'and oihy Address <br /> it�M_rVt 1 _ easn 1649 E . Channell St <br /> I✓ �; � o� 551113 , Stockton , Ca . 9l Stockton , Com . <br /> 4 Ge,nerator's Phone( 209 465-3609] I <br /> r l q nit <br /> S TraLTt�rll 1Clm�a-! fN'uC]Sll1C0 b r1 US AA ID Number - ra��� �� � � � <br /> t \ i <br /> 7 Transporter 2 Company Name B U5 EPA ID Number ' <br /> Dcsi n ted o hty Na qn lite A ress 10 US EPA ID Number A Transporter's Phone <br /> nc w B TransportarsPhone <br /> r 1 e t7 H cs rr R 3 4 d t t / A C Taal, 's Phone <br /> V'-J_ 4vz 11e , Ca 707 ) 451- 3276 <br /> 13s <br /> I I Waste Shipping Nome and Description 12 Containers of 14 <br /> al it <br /> No TQuantityWt Vol <br /> ype <br /> Vol <br /> ?Icv) - hazardou_ hydrocarbon -impacted soil , ACCEPT 4 011E5 18 yds <br /> WEIG14MASTER CERTIACATE <br /> THIS1S TO CERTIFY that the to4owmg described comrriodty was weighed,measured or counted by a weighmaill whose signature a on the certificate who Is•rec�ogrslzad authority of accuracy is prescribed by <br /> Chapter 7(commencing with Section 12700)of Division 5 of the Ca#lorn+a Busriess and Prolessions Code adminatered by the Dwision of Wasutament Standards of the Cabal Department of Food and Agriculture <br /> -11l NIl 76768 <br /> 1 , Y - I,LJ r1rLy Dev 10p1nCflt Co L]G -rE-: DEC 1, 1993 1c :s..6 :L3Li <br /> 4t� tL;ltt-ll t� ( ri,�� it:�/ }fid. V��c �� rzllt•, ( .,. Coettilit:y :[:-SOIL <br /> i i 13!111 lsiltl�t'I IIUI^4,,;L <br /> .3 fatal Charge ; <br /> f ender^eLl 10 uV-1 <br /> l I. fit, I I I 'L t J rC,.i j telk1ii,s"[t Ch. 111ge f 0. V)0 <br /> tF l'i t i, 'i <br /> (til) S-3I c).,� I +L_ Y. L;I L L_taw. <br /> d a1,141<+'+ "I ,.Lt ,z ilt tyi�t L't.a. - <br /> ��� -' �� 11rt�Eth hIc-t i1L I lat-it Ltj� 1IE1RY BORDEN <br /> 111,1, l i i t 1 q lylRy§LyelGNfy7l1{Er tLI DEPUTY WEIGHMASTER <br /> 16 GENERATOR 5 CERTIFICATION I certify the materials described above on this mo,rfest are not subject to 12derol regulations for reporting proper disposal of Hazardous Woste <br /> Printed/Typed Name Signature Mar.th Day Year <br /> M i Li <br /> =ys. <br /> S T I7 T,ansportr.r I Acknowledgement of Receipt of Materials <br /> + --- <br /> APrinted/T oma Signafu Month Day Ye r <br /> N O� �_ <br /> i O 18 Transporter 2 Acknowledgement of Receipt of Materials <br /> { R Printed/Typed Nome Signature Month Day Year <br /> E <br /> R <br /> 19 Discrepancy Indication Space <br /> IF <br /> A <br /> I 20 Facility Owner or Operator Certification of receipt of waste materials covered by th manifest except as noted in Item 19 <br /> T <br /> y <br /> PiiriIUJ_�ped Name L�Signot a Mpnf D e r <br /> u 1 J 4h , <br /> tr t' ll#f13�1 R r F"rfi sr�Ira <br /> t t J <br /> �; l �� "� TRANSPORTER #1 w ' w <br />