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J . ' <br /> �esa a i <br /> ALTA ENVMNMFNTAL SERVl K WG. <br /> 831 Davis St <br /> %facawft CA G&Wa <br /> h <br /> r <br /> " 1 G er tor' USE Alp Na Manifest 2 Pape 1 <br /> NON,-HAZARDOUS ', ,p cable Document No <br /> 3 �tWASTE MANIFEST <br /> of _ <br /> 1✓r �iye-L a s(Nu�n� 5 i1 U Address 1649 E . Channel ) S t <br /> r 0 9o.-r , 05103 , Stockton , Ca 95205 Stockton , Ca <br /> Ii <br /> 4 Generator's Phone( 209 465-3609] � <br /> i <br /> Tru oder 11C rin Name b S EPA ID Number <br /> �F. r a�fe ,l ruck r�ir� F� (408 ) 927--3321 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number <br /> p 9� Des�'gngted foc�h y Nno q�lt¢�tte AdTRsss 10 US EPA ID Number A Transporter's Phone <br /> lC] 1 C7 I , B Transporters Phone <br /> b4 2b t'1 a y k o d d N / A C Facility's Phone <br /> ( 707 ) 451--3276 <br /> 12 Containers 13 14 <br /> 11 Wasle Shipping Name and Description Total Unit <br /> ANo Type Quantity- Wt Vol Will <br /> 74, iY -I-)szar=naus hydracarbar -.tltpanterc SO-11 , ACCEPT U 011E5 15 YCIS <br /> WEIGHmAsTER CERTIFICATt"rby <br /> stS IS TO CERTIFY that the fowmV described commodity was welptsed,meawnd or counted by a wesplrriniste yr by I nalure 1s on this remecarileale who 6 a rthe C lgorized authepa of ar cunoy as d Agriculture re <br />�apler 7(commencing svilh Sectttxs 12700)d Division b of the Cakforms Busrseas and Prolesstom Code admmLstared by the Dion of Nleasuiamanl Standards d the al ornia Department of Food and Agriculture <br /> f Ic.J:E r Nn. : 76 794 ~� <br /> t�(ki 11,I �ii]r.nl. CY < <br /> f1 ( rit,I( f tea 7� ltapinelrt Iota. ); ME: DCG 1 � 1993 1��+:.� � <br /> �4 1t4k,_'I I° i =I,-f II"y 1.cJ. yac,�-VI I Ie, ( ra. Com mod aty :f---SOIL- <br /> L4° 11 I t`a_ I-,rit_e/(1n1t : <br /> ! t s 1111 3 Iti/[tkll l I MR( AL <br /> Total Gha1^ge . <br /> Tendered : 3siL3. I'isin <br /> J 1 9",63 Change : <br /> 1j <br /> I'i-1411 4M] f,r Ur. _ ,im, jLI <br /> f �u780 L l_Lae. <br /> IIt_ t tit I Jtlt L hs_ _jAND`+' 14ALL <br /> rV <br /> l <br /> L 1111 u l i 3 i s I . r' V 11 lG LULE <br /> Ti t iii 1- i i t f. -1 DEPUTY WEIGHMASTER <br /> 16 GENERATORS CERTIFICATION I certify the materiols described above on this momfest are not su d repulatmns for reporhng proper disposal of Hazardous Waste <br /> 1Il Printed/Typed Name Signature Month Day Year <br /> t- r )1 A-1d t�a1 Leas Ino <br /> I T 17 Tronspoiler 1 Acknowledgement of Receipt of Materials <br /> APiinte SIV-Ed Name Signgture <br /> _ p 18 Transporter 2 Acknowledgement of Receipt of Materials <br /> R Si nature Month Day Year <br /> T Ptinted/Typed Nome 9 <br /> E <br /> R <br /> 19 Discrepancy Indication Space <br /> F <br /> A <br /> 20 Facility Owner or Operator Certification of receipt of waste materials covered by I manifest except as noted in Item 19 <br /> T <br /> 1 <br /> _ _ <br /> Y - � Month0 y ar <br /> /Typt,d NaLm�/J _ n_ / � t9 - <br /> b 4 <br /> TRANSPORTER #1 ° � t��5 _- <br />