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i <br /> NON-HAZARDOUS 1 Generator's US EPA`ID NoD Mo efest 2 Page 1 <br /> WASTE MANIF T p T ri o I of <br /> 3 Cyertarator•s Name and Moiling Address Advanced GeoEnvirommental j <br /> SITE@ VANCO Truck&Auto Plaza 837 Shaw Road <br /> 1033 W. Charter Way <br /> STOCKTON CA 95206 STOCKTON CA 95215 y <br /> 4`Generator's Phone�oq 467-1118 j <br /> 5 an Transporter 1 Company P Y Nome b US EPA ID Number A Transportesrs Phone <br /> SLABY ENVIRONMENTAL INC. N/A (760) 767-0776 <br /> 71 Transporter 2 Company Name 8 US EPA ID Number B Transporters Phone <br /> 9 Designated Facility Name and Site Address 10 US EPA 10 Number C Facility's Phone <br /> L&D Landfill <br /> 8635 Fruitridge Road ► <br /> SACRAMENTO CA 95827 C A L 0 0 0 2 7 7 7 6 7 (916) 737-8640 <br /> 1 11Waste Shipping Nome and Description 12 Containers 13 14 <br /> I Total Unit <br /> No Type Quante Wit/vol <br /> a NON HAZARDOUS WASTE SOIL <br /> D M 0 2 9 7 0 P <br /> Ave <br /> V <br /> E <br /> N <br /> A <br /> A c <br /> T <br /> O <br /> R <br /> d Y <br /> 5 <br /> Addittonal Descriptions for Materials Listed Above E Handling Codes for Wastes Listed Above <br /> c , <br /> t <br /> 7 + <br /> t 15 Special Handling Instructions and Additional information <br /> Emergency (2'4 Hour) Phone:' (888) 701-6600 <br /> ** BILL to SLABY ENVIRONMENTAL *** For Disposal <br /> P. 0. Box 903 <br /> BORREGO SPRINGS CA 92004 <br /> ' 16 GENERATOR'S CERTIFICATION I corety tho materials desmbed above on this manifest are not subject to federal rayulahom for reporting proper deposal of Hasaidous waste <br /> s Printed/Typed Name Signature Month Day Year <br /> to <br /> OT, ill7 <br /> i -Traru iter 1 Acknowledgement of Racal t of Materials <br /> APrinted/Typed Name/ Signature Maeth Day Year <br /> 0 16 Transporter 2 Acknowledgement of Receipt of Materials <br /> F11, 4 <br /> IT Panted/Typed Nome Sigi4ure Month Day Year <br /> e <br /> R <br /> 19 Disaeponcy Indication Space <br /> F <br /> A <br /> C <br /> I <br /> � 20 Facility Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted in Item 19 <br /> T <br /> Y <br /> rinted/Typed Name Signature Month Day Year <br /> t <br /> f <br />