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ALTA ENVIRONMENTAL SERVICES, INC � <br /> Y` 831 Davis SL tt <br /> I , <br /> ��r 1r -------Vacavlpe,-CA'95687----�---- <br /> tri d ) as; _ � i_11� r <br /> T of e 5 f' M ($DOj 794-2768 i <br /> Plaeei pnnt or N t I_r <br /> (f arm designed "ors rf 12 I <br /> fest 2 Page 1 <br /> NON-HAZARDOUS 1 G,eneralor US EFA ID Na Mani <br /> WASTE MANIFEST of p p p 1 �l c a i� I E Document No of <br /> 3 V Gener ror's Name and Mathn Address <br /> ffi u Y a 1 , eas-11-1 1649 E Channe-1 I Sr <br /> r , Bo., 55103 , Stockton , Cal 9520:, Stockton , Ca <br /> 11 <br /> 4 Generators Phone( c 019 465-3609 <br /> Sr Transporter 1 Cgmporry No b US EPA ID Number 4 � ) 9 2 7 9 3 I <br /> aLIEf 1t= 1 I'Lsckirig <br /> 7 Transporter 2 Company Name a US EPA ID Number <br /> i <br /> I <br /> ' 9 Ucsrcc��ngqted oglity No @ qn lite Ad cess 10 US EPA ID Number A Tronsporler's Phone <br /> r a{t 7 l G n C�T F I n C 6 Transporters Phone <br /> I 1i n',' r(,,ctd <br /> C Facility's Phone <br /> Yr a » ! la , Ca ( 707 ) 451 -3276 � <br /> 12 Containers 13 14 <br /> ;1 11 Waste Shipping Name and Description Total Unit <br /> a No Type QuantityWt vol <br /> haz ardouS hydr ocarLlon 'l mpacted �_-11 ACCEPT #! 01 1 C 5 18 <br /> WEIGHWASTER CERTIFICATE <br /> iS IS TO GERI ItY that the Iolowing described corrvtsoddy was weighed measured or counted by a v etghmaster whoa 1 gnature Is on this certllr�te who e a recopnlzed aulhonfy d accuracy as prescn 1 <br /> aplur 7(commencing with Section 12710)of Dunston 5 of the Caiforma 9ustrsess and Prole ictrra Code administered by the Drrrsson a Measurement Standards of the California Department o1 Fo d and Agrw <br /> 1 IG INET NO. 768117 <br /> I i`t till lit-, E ] 1.5ptilelit. L,Q. ljfJlTk : DE-C 1, 1992, <br /> iF rill , : 1° t r�•, tliAy tl UzAcav1110 C<<. Cafllill ac I L V L:-SOIL <br /> }f i I Ili I ', •t ' !'1 LJn-it : 1 <br /> l czt a 1 Cha1•-ge <br /> -1endEred tkr Irr <br /> F 1 f l k f { I LII lr I ILI 0C h i T3 c e <br /> `illi l it h 1 s f <br /> F til4cf[f _ k r _ 41r 1 I f 1 l 1 L G <br /> tic L tl= ' rjlIt Lb `)HIlUY HALL <br /> DIVERS 1GKYU <br /> S i i l r s t S '� s i tl� i. DEPUTY WEIGHMASTER <br /> 16 GENERATOR S CERTIFICATION I certify the materials described above on 1h11 mon Fess are not stb [t to ederal re ulatia s for rep-A44-per disposal of Hazard„us Wmic, RM <br /> sr' Pnnied/Typed Name 5ignatu /tom Month Day Y.nr <br />=r' ja'tt r �i' Mlc-! Cal Laaeit-)g P2 101 1133 <br /> T 11 Fr In porter 1 Acknowledgement of Receipt of Materials ; <br /> S nature ]JArh pu <br />'r SIC <br /> P -- <br /> 1 p 18 Tranzporl[r 2 Acknowledgement of Receipt of Materials _ <br /> T -- --Printer Name �Jtgn.luire Moarh Day Year <br />�L R <br /> cr, <br /> tr 19 Di ereponcy Indication Space <br /> 4 <br /> F <br /> A � <br /> t� C <br /> 20�Fociloy Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted in Item 19 <br /> E��ys <br /> Pin i.d/iyped Nam � / $ignpt r 1 Month D y Year <br /> it i �y <br /> qk ' <br /> a TRANSPORTER #1 <br />