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ALTA ENVIRONMENTAL SERVICES] INC. <br /> 837 Davis St--- - � <br /> � <br /> Vacaville,CA 95687 <br /> xs3n <br /> (8aD)794768 <br /> NON-HAZARDOUS 1 Generator's US EPA ID he Manifest 2 Page i <br /> WASTE MANIFEST tdot Applicable Document he a1 <br /> 3Generators Name and Moiling Address <br /> M e Ca T' Leas'ing 1,649 E . Chanel St <br /> p O . , 6ox '55103 , Stockton . Ca . 95205 Stockton , Ca <br /> 4 Generator s Phone( 2 0 Y) 465-3609 <br /> 5Transporter 1 Company Name 6 US EPA ID Number <br /> hr Bauerle Trucking I N / A (448) 927-9321 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number r <br /> 9 Designated Facility Nome and Site Address 10 US EPA ID Number A Transporter's Phone <br /> B and 3 L a n d f i l 7 , 1 n C 8 Transporter's Phone <br /> 15426 Hay Road N / A C Facility s Phone <br /> Vacaville , Ca (707 ) 451 -3276 <br /> 11 Waste Shipping Name and Description 12 Containers 13 14 <br /> Total Unit <br /> No Type Quanta Wt Vol <br /> at4on-hazardous hydrocarbon impacted soil , ACCEPT 4 03165 18 yds <br /> WIDGKMASTER"RTIFICATE <br /> THIS IS TO CERTIFY that the following desuibed cOnrnpdiy was vmkoted,measured or counted by a weigher" r;whose sIgnature Is on this cadlleate who 1s a reccgnIzzod authority of aeouracy as prasonbed by <br /> Chaplet 7(corrrnaricmg with Section f 2700)of Division 5 of the California Busnesa and Prolessons Code administered by the Dhelsion of t feasunrneni Standards of the CCa omia Department at Food and Agncuttura <br /> -1 TCKET NO. : 761303 <br /> I Ciptni3l-ii CO. 1)f1TC: DEC 1, 1993 ] 5.12: ,lE <br /> I ili* ,I 12 _ e—r Il,:ky Rd. Vaca" I Ile:, f:�,_ Calan odit,y :C—SOIL <br /> 1'( IH ;IiI . I. ,. ,' 11,, PY` IL0/Unit; : r <br /> Flt Iff L i�V I N/NOP4 11I�;2[ OL 0 P / <br /> 1i j t i �j I „L t_ l rotas Char t. : <br /> l.,l �r y 9 j <br /> L Tendesr,ed . <br /> VIIAO Change : '1+k}. ole, <br /> SO I H la ! 1 _ .= <br /> SliLE 0 (N) (a1 o_ tlt z rll,t i_E,r <br /> ��1�3E•�I t€� L I 1 11, L t L,e bf)NDY HALL <br /> rj <br /> DEPUTY 44EIGHMASTER Pnnted/Typed Nome _ Signator Month Day Year <br /> o r c r' !A 1 r{ f a t Led 5"I n, i1C �'r 1 2 0 1 :3 <br /> R 17 Transporter 1 Acknowledgement of Receipt of Materials <br /> A PrinlTgped Name / Signator / ny7lh y' <br /> P <br /> D 18 rionsporter 2 Acknowledgement of Receipt of Materials <br /> R -- <br /> T Printed/Typed Nome Signature Month Day Year <br /> E <br /> R <br /> 19 Discrepancy Indication Space <br /> F <br /> A <br /> C <br /> 20 Factfify Owner or Operator Certification of receipt of aciste materials covered by his manifest except as noted in Item 19 <br /> T <br /> pet.; d ped Name Signa re Mon <br /> TRANSPORTER #1 <br />