Laserfiche WebLink
0.2/07/2006 17: 18 9256340`-^ DILLARD TRUCKI� PAGE 05/29 <br /> !!�%Zr RD. .V,'�PSTE MANIFEST <br /> Please orint or type (Form deslgngd for u9p on ratite 12 pitch)type*(1thr - <br /> NON-HAZARDOUS 1.Generalofs US EPA 10 No. Manifest2.Page 1 <br /> WASTE MANIFEST C X L- 0 0 0 2 2 5 6-5. 6 ^n Document No. 1-7 0, T. .of 1 , <br /> 3.Generator a Name aria Melting Arlor6s6- MAIL.-UP Ilia? 001 T MOD 13CT S r LLC. <br /> AFwO #595. V*-<80L 60249 <br /> 61010. S, HIGHOAT 09 RsI1"A .. CA 9'2688. <br /> S=OGKTO>s.r Com. A'T.TN:-LTL1., CHRUTIL <br /> .v'rF d.Gnnnrator'z Phoria I ('714)6-10-5303 - MY6836010205. <br /> 3.Tmr%porter 1 Company mama 6. US EPA ID Numbor A.Strata Trnntoonoe,ID <br /> t DILLAM ICK I_ WIMENTMA, SVCS I .c A. 0 9 S Z: 5 2 3. A 3 -0.Trampurmr 1 Phorwi <br /> T,Transporter 2 Company Name a. US EPA ID Number <br /> C,State TranaPofh?r':I❑ <br /> 0.Transporter 2 Phone <br /> B.Deesignnaatteed��Fflacwty Name and Site AAdddress 10. US EPA ID Number E.SSRte Facintya Ib <br /> ■.ORiMWY,::;iif\►.. LAMrILL <br /> 999 SOUTH Agnl t Ri0AL1 <br /> �=N�r^`X -95336,1.��� F.F9allty9 Phone- <br /> �3 C 1 L 0 0 0 1 9 0 0 8 0 (209) 982-4296 <br /> 11,WASTE OESCRIPTIQN 12. ConlRinere 13, 14. <br /> Total Unit <br /> No. I Type Quantity WLNol. <br /> Mw a. troy HASAM1008, SOIL. (Pf: .6087) x, x <br /> ' <br /> 00: D T. 7.. <br /> G b <br /> E <br /> N <br /> E <br /> R a <br /> A <br /> T <br /> O <br /> A d. <br /> LU <br /> j0.Ado¢Ioncd Oeacriptfons for Materlpts U?led Above f•I.Handling Codes for Wastes Listed Above <br /> 11b. 61187 <br /> ' 118. <br /> lld. I ; <br /> 1 <br /> 16,$orcrel Handling In;tnrctlonz and Addiliannl Iniorrtatlan '\ <br /> _ �qe� CnRtarbt(g2S).634-6850 DILf.�A <br /> z Jab & 1-319• <br /> Z <br /> .W AF dFAV A1W AV AV MVAV AV AFAF AW JW AW Off <br /> 1e,GENEfIATt7R'S CEFMRCATION.I haroW certlry that the contents of Nis shipment are fullywa accurateydeec iia and are In all respects <br /> in proper contlltion far transpM.The malar els tlescrlbetl on Nie manifest are not subject tofedetell hazardous wast-redulalions. <br /> f DaM <br /> Plnrted lWad Name ran Month DRY year <br /> T 17.Transpaner 1 AchnowletlgemeM of Receipt of Materials Data <br /> R <br /> A Printod/Typed Name Signature Month Day Year <br /> N <br /> S <br /> P <br /> O 18,Transporter 2 Ackwwledpement of Raceipt of Materials DRte <br /> R PnntearTypeo Name 5 aturo <br /> T � Month Day Year <br /> E <br /> R <br /> F t9.piojpwpency IndiWtlen Spnen <br /> A <br /> C <br /> 1 20.Faellity b«ner or Operator,Camfleatlon of receipt of the waste materialp covered by W5 manhost,except op noted n ham 19. <br /> L <br /> Date <br /> 'j° PNntotlJTyped Name <br /> Slonaturo mo wH DAY yqqr <br /> Y , <br /> LMEt�tASTFRrP 007 <br /> 1 . ��rmo.�c+aR.rrm <br /> GF14 10 2o20132A 82,1dea8 www.lrtbalmaatsr.mm <br /> i -... .. , ..,1 ...... ,�. .,S;,,YvT.•�..::'i�f'i.., ._,. afar. .�.i.. <br />