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ALTA ENVOONMEN i AL SERVICES,INC <br /> �d hsT , a c` � b;~+`1<t r Zi Vaf�, CA 9G7[TV7' <br /> p'11p <br /> AAe�f7CO'11i !'1' ` {800)794-27SSV(F" 14- <br /> I <br /> ' 1 I <br /> NON-HAZARDOUS 1 Generator's US EPA ID No Document <br /> 2 Page 1 <br /> Ncar Apt �G :sJ IE of <br /> WASTE MANIFEST _ _ <br /> 3 Genuator s game and Moiling Address I tolll <br /> fl I r j t-r=a-ino 1649 E Channell St <br /> 13o- x; 103 , 5Lackron , 952!1i Stockton , Ca <br /> C� i <br /> 4 Grn,.r20 465-3605 <br /> ator s Phone( `) <br /> 5 Trans orter 1 Co�r'�pony Name b US EPA 1D Number <br /> ! <br /> F IaLiE. r i_- Trucl:-ina rJ f P ( 408) 827-93? 1 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number <br /> 9 13,"Unated Facility Nome and Site Address 10 US EPA ID Number A Transporter's Phone <br /> L3 c, ci _1 L a n d f-i 7 i , I n c B Transporter's Phone <br /> 1 r7 t j y K L)a d lv, C facility's Phone <br /> �r�c vIIIe , Ga ( 707 ) 451-3276 <br /> 1 14 <br /> 11 Waste Shipping Name and Description 12 Containers <br /> Total Unit ' <br /> No Type Quantity Wt Vol <br /> af4.i, K.-^ artjous hydrocarbon -impacted so-11 ACCEPT - 4 01 165 1 L, yd <br /> WOG3f LISTER CERTIRCATE ciQ racogn <br /> izt <br /> ,,alar OC FR I IF(That the <br /> with Sec[ow ra 70g)d Dmss�x d�ltrf California igusianaess and Professt°ns Cone adsured or counted by a we=nis eiijerred b the Drriarian Mea ummariul Standards of the Ga lomw Department at F�sod Apricutt by <br /> r <br /> [sin. 7E+�3Q1� <br /> JdA1j11„I,k 4r_i <br /> ' , r 'JI I,t `, llevf L (,ptl,tr+i. (:c>'. D111Ea DEC, 1s 1993 11: ccis ;�7 <br /> I 'll, I (-t ll_,y ;ju Vac Zvi a Lm, L e. C'r3ltTrstrJtij� [ ti FUJI_ <br /> 1C_ 1LEll3t ' <br /> Tt f 1 1 I 1 t �'at�l� I�(►1tf r�! / J <br /> Total Charge : <br /> �f V <br /> � k-hoAnge <br /> 4"0 1113 I_,i C) t" I l�ltit I lug _ <br /> 1 L <br /> ill)Y I WLL_ <br /> "7�IVEi3$t51GNATURE i t "k t DEPUTY WEIGHDMSTEA <br /> i <br /> s 16 GENERATORS CERTIFICATION I certJy the moje„ols described above onfsh+i .,amfe t are not su Io federa req alions for 14.rlirio proper duposol of Hozordoes Waste <br /> w Pin,ted/Typed Nome S,gnatu Monih Day YL r <br /> rDr rlid Cal I_easir�g 12 31 i3 <br /> T 11 liansperler 1 AcS nowledgement of Receipt of Materials <br /> R <br /> A Printed/Typed 1Jo - Signatur l� uyl YMa! jE <br /> s __ G „l <br /> p18 Tianeporier 2 Acknowledgement of Receipt of Materials <br /> jPrinted/Typed Nome Signature Month Coy Ycor <br /> f E E <br /> R <br /> 19 Disrocpancy Indication Space ' <br /> F <br /> A <br /> 20 Facility Owncr or Operator C,.rtifrcatron of receipt of wa%te moierrals covered by this manifest except as noted in Item 19 <br />*i T <br /> Y -- <br /> x f wgj.d/Typ,,d Name— — Signa e 7, M nth Do'all Im <br /> ¢� <br />�i � � L 'I, TRANSPORTER #1 <br />