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02/07/2006 17: 18 9256340874 DILLARD TRUCKING PAGE 18/29 <br /> �t <br /> NON-HAZARDOUS WASTE MANIFEST <br /> Dia.�i�rfrl C •:rP IC'1'iT,�.o.,�...,.,.,. •,'I^_�n.ait. It" :h)t '- '�iHfi <br /> f' <br /> ,MON-HAZARDOUS 1.Ganarafor's US EPA ID No. MAn+rent <br /> < WASTE MANIFEST �C A L 010 0 2 2 5 6 5 6 Oocumenl No. 2.PAne 1 <br /> 1171 1 Of ; <br /> s.GAnnraterz Name end M1MVing Addrd;s MAIL: SP Wi$T COAST ?R0VT1JZ 3 r LLC <br /> ►ACO #595 90 HOZ 80219 <br /> 5X00 N 43IGH1fAY 99 A9 HAROMITA, CA ')25131 <br /> 8TOCKTON, cA #TT I: �YY.R Mmz 8TT0 <br /> d,Gener6ltor's Phone( (71.4)970_S303 HYBP'3601t120g <br /> S.Transponer 1 Company Nqm° US EPA ID Number <br /> A.$(are TreneporMr'°ID <br /> ' Transporter 1 Pnono 1928)63Q <br /> 7.Trareoonor 2 Company Name 3. US EPA ID Number <br /> C.Sta1A Transoortees ID <br /> D.TranaporTer2 Phono <br /> 3.Dezignarad Fartlly NAme and Sha Adtlr9ea 1D. U8 PPA ID Number <br /> FORMA" M. LUDIPILL E.State FaFllily's ID <br /> 9999 'gOUTfi ATI STT1 ROAD <br /> MANTECA r CA 9`3336 F.Faclary'a Phare <br /> C Lr (l 0 O Z 9 n Q .�3 11 t2Q9)462-4298 <br /> t 1.WASTE DESCRIPTION <br /> 12. Cnnis(nere 1314,. <br /> Trit <br /> Dtsl <br /> Nn, Unit <br /> e. �'p° I]uarhh wt./vol. <br /> SOA HAZARDOUS SOIL, :P£: 6087) . <br /> ov <br /> Ic3T <br /> D T <br /> G b <br /> E <br /> N <br /> E <br /> R C, <br /> A <br /> T <br /> O, <br /> id R d <br /> F_ <br /> rGhionAl Oescrfpeons for MRNTIAls Ll9fed AEove7' •H.Handling CodaP tOr W8ate9 Li6ted Ab'D " 4 8,ekit Handling In:Irt�cHona And Addtfonal information <br /> C Bloargeney Ce�r► s�rt(g25y&34�bB5o DILLr11Rb <br /> Job N 3-3x9 <br /> AFAWAWAFWWjW <br /> 16.GENERATOR'S CERTIFlCATION;I hereby Ceres that tha contorts p ftAy and acCl MIN <br /> in omper condtlfon for trot y nts o1 Nle eM rr1oM am y descrij re and are Ina rt+spects <br /> 'uprx't.T11e nie[erlele deScribCd on MIA meniteCl flro nei suhjad IO federal haLlydous wa3h reglllati0ns. <br /> f1 - <br /> NrnledlTyped Nama Date <br /> H. Ii"CH V" 11 M &gnaturA � WOO Day rear <br /> R17.Tranepamae 1 Actmow/edgemenf of Raaafpt of MAterWa <br /> NPnntemTypod Name Sgr,alurg `/ 7itQ <br /> �aonrlr L+Ar res, <br /> P <br /> p 18.TranVQ"F 2 Acknowl ment of Receipt of Matorlalz <br /> TPrintedTypea Name 3fpnflNro 'Late <br /> R Monfh Day Year <br /> 19.Dlecrepancy Indlcgllon Space <br /> A <br /> C <br /> 20,Facility Ownar or Operator,OBrHficatIon of rftWIpt o1 the waste matenelz�9red by his manifest o>f� <br /> L ecn as noted Jr itam 19, <br /> Y Pritlledlyped Noma \ f Data <br /> $1S7rsture <br /> YF7 A4onrh YeAt <br /> CF14 02062 LAXEdSLASM0 (800)621-5608­w.laaalmarit.,wm <br /> Y- <br /> ..r,[,:, <br />