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02/07/2006 17: 18 9256340874 DILLARD TRUCKINR PAGE 13/29 <br /> NON-HAZARDOUS WASTE MANIFEST <br /> cr r-_•, !Form deli ned for u:a on Aim(12 pi;Ch)typewrlteri <br /> N6WHAZARDOUS 1,Generstor's US EPA ID No. MenNeet 2.Pegs T <br /> WASTE MANIFEST <br /> Document No. <br /> C7ILOQQ22S 6S 6 11716 �+ 1 <br /> 3,denerator's NarnN And MaitlnpAddresa- MAIL. gp N$ST C0A8T PROMCTS, LLC <br /> ARCO '#598 p0 801 80249 <br /> 61100 H HIGHKAT 99 Rs M RICARITA, CX X12688 <br /> ITOMTON, GA. ATTU! KTL9 CHRISM <br /> a.Genurnor'a Phon91 714 670-1303 HYRF36010205 <br /> - 5.Tranaportor 1 CompSry Name �. US EPA ID Numbar A,State Transporter's ID <br /> DITrLARD 9MVIR0AMMAL SVC8. C A D 9 8 2 3 2 3 4 3 8,Transporter 1 Phone <br /> 7.TranAparter 2 f ompany Name 6. US:PA ID Number C.State TranspaAer's fD <br /> _ D,Yranspennr 2 Phone <br /> 9.Desianalod F3611Y Namq ane Site Address td. U9 EPA 10 Number E Slate Focillty's IC <br /> VORXRR.D INC. L"DV%LZ <br /> 9999 SOUTH AUSTIN ROAD <br /> M71 ffECA, CA 95,336 F.Faculty s P�One <br /> (C A T, 0 0 0 1 9 0 .to la 0 (209)982•-4298 <br /> 11,WASTF.DESCRIPTION t2, Containers 13, 1a. <br /> Total unitNo, Type QflAntlty VAN61, <br /> 9. <br /> NOR MAZARDOGS SOIL, {pt; 60SI) <br /> o x <br /> G 5. <br /> E <br /> N <br /> E _. <br /> R <br /> A <br /> T <br /> 0 <br /> LR a.LU <br /> +) <br /> 1 0.A"Jtonal Descf0iane for Matadals Liatred A6wa <br /> N 11gk. bo87 D U� aLS lJn o <br /> lid,, JAN 2 0 2006 <br /> 15.Spacial 1.landting fratmvcdons and Additional Information <br /> EM6r9as2y COntalrr(925)634-6830DILLARD <br /> Job # 1-319 <br /> O <br /> W AW AW 9V AV AV 4MV &FAVAWAW MAW AV -MV MV AV AV <br /> 16.GIMMATOR'g CERTIMATIr7N:1 hereby certify that tho contantg of thig ahlpment areluly and aceuratoy deac'led enrf are In all reepecW <br /> fn paver condliWn for transport.The ma is d4cedbod on INA m Mgr;t grq nr�t sublect Ip adhez/a/r/tlaua wow..I repulations. <br /> r <br /> 1 Pr4ntedrrypect Name <br /> �] ���/� slgriz re w ti._ .Day Year <br /> M. ROACH M ARCO <br /> T 17.Thimporlor t Acknowlgdgement of Recelpt 01 Matenals <br /> R Data <br /> A Pnntod/Typad Name Signature <br /> `f r /_ , C I /f /f �t Month Da Year <br /> 0 78.Trgnsponer 2 Acknowledgement of Fikalpt of Ma0artels <br /> T f nnredfryped Name Data <br /> 91Anehlre <br /> F Month Day Year <br /> R <br /> i <br /> 19.Discrepancy Indicmelm Some •" <br /> F _ <br /> A <br /> C <br /> 20.Facility Owner or Operator.Certification of racetpt of the waste materials covered by thiA manif*4%except as noted 61 R.M1 9. <br /> L <br /> ' I ' <br /> T P t'}iTM^ / sfgnauro Det9 <br /> Y <br /> CF14 o29021 L��M (Baol9Ztd80+ww,lebetmaster.com f r >y Y ®.w;ee.Mamm�w�� i <br /> y rra�orrs.nr <br /> ,:..., u.v4:+.:...• .°!:r',+._.�-,. _.. ..,;-'�^ •� lshen�et�i r �r�,'",r� 4�.xw. �� ri;co- u..`'.*w ar-s,�, .•b� <br />