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U2/07/2006 17:18 9256340874 DILLARD TRUCKING PAGE 27/29 <br /> N�-HAZARDOUS WASTE" MI <br /> ANIF'EST <br /> Please print or hrpa rPnrm da'!7nea(or Lse on 01!te(12 D!L�f nreev,rftar; <br /> PEON-HAZARDOUS 1 Generators US EPA!D No. 1.1r, <br /> lfaetWASTE MAIj11==d ument No. 2.Paco i <br /> c � Laoo22s 6s 6 11711 of 1 <br /> 3.Qsnerarors Name and MaiIInP Add�as M. <br /> Z ®p VZ-gT COAST �'IUMUCTS, L14C <br /> ARCO # 595 PO SOX 60249 ' <br /> 6100 H HIGROMT 99 RS MARGARITA, C71 926$8 <br /> ST'OMTON, CA ATTR: RYLB CHRISTIS <br /> G.Gonn"ura Phan.( X7.4 G70—'5303 <br /> 5.Tmnapprter 1 CompanyName HYE�'36Q2d2d3 <br /> 6. U5 EPA ID Number A.State Trensponars ID <br /> ra z+Z+�O wNVI tO1Vt+�riTatl, Svcs, c ,a► 1) 9 9 2 9 �! a 4 3 0.Transporter 1 Phone <br /> 7.Tra naporter2 Company Nflme 8. US CPA IQ Number 9'l'3 G54'--683C <br /> C.State Tran:vpor>Pr's ID <br /> �.C991pnamtl Faclliry Name and Sita Natlreae D.Transporw 2 Phone <br /> W,4RV)U ISC. 1�DF' LL fo us FPA ID NUmt)ar <br /> Mw E.Stgte Faculty's ID <br /> y9�t9�94 SOUTH a U9tIN �Aty <br /> dr1XNTRCA, CA 99336 F.Facility's Phone <br /> 11 WASTE DESCRIPTION c A L o d o 1 9 (1 s e a 1209)982-4298 <br /> a t7, Confainara 13. <br /> total 1 a. <br /> U nh <br /> n, � TYP9 QuantllY wt./Vol. <br /> H,AZZARDOVS SCZI.,. {Pf: 6087) <br /> 3 T <br /> 00 0 T S Y <br /> G b <br /> E <br /> N <br /> E <br /> A <br /> T <br /> O <br /> W R a, <br /> i— <br /> yG.Additional Descriptions for Materials[.lutwd gpove <br /> VIA- 60 197 H,He"Ing Codes tr wastes,UAted Above <br /> 11b. <br /> 0 Ilv. <br /> Q15.Spacial HanaNng Inffructiorta and Additional Information <br /> smsrgancY Cor taltt4925)634-6850 DILLARD <br /> Job �F <br /> Z <br /> 76.GEA q�HA.fV M AV AW * jAV #WAFAVMAWAjrAwAE <br /> AV <br /> m proper condition for Yana rAt n Cettlfy Ihat the conteMa of this shlpmant are fully and acouretely da:ci baa and are In all raspect5 <br /> Pori-Tho matenele descrtbea en thin manifest am not subject to(eoernl hazardous wasw repuiatlons. <br /> Prirrte6?yDed Name <br /> 51�r'Mturw Date <br /> M, Mmicy rOR AftO / Monrn Da roar <br /> TT I7,TraMmar 1 Acknowiedgan%w of Reoef It of Mafads fg <br /> A PrtntedlTypgd Name Data <br /> N /V S� <br /> P e) ( / i �^_ Monts "0"', <br /> a Yeel <br /> p <br /> 18. 1 rAnsponer 2 Acknowledgement of Rk4elpt of Materiels I <br /> Tt`mTR"ad Nem, SI netura Date <br /> g r y r' JAN MMM DHy YAar <br /> A V � o zoos <br /> 1P,Dlscreoancy Indlcnffvn Speco <br /> F <br /> A g <br /> C <br /> 1 20.Fapfity,Owner or Opyrt,tor.Certiffcatldn of receipt of fro westa materials oDvered b M <br /> L Y INS manifest,mrcept es nand 1,Item 19. <br /> TPrfntad+l-ype�IN*rm. V DAh, <br /> l 81gna!ure <br /> m <br /> AhT <br /> GF14 0zobz LAItE ASTatm(80o)aziseoe www,laO�Irty6feLoom <br />