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JUI - 1 /–yt3 1L : 44Y li�� It MNIJLUUIt-- Z!- 1NI T i7-LU 1 `+ltil+ N .07
<br /> VqWechnologles Soil Recycling
<br /> Non-Hazardous Soils
<br /> Date of Shipment Responsible for Payment TtartsporterTruck A Facility N Given by TPS Load R
<br /> Generator A0 00384 0
<br /> C tntr-at+I .N,rru. -ti 141111111,A,IJV,,% Cen&rit"r,Phone# Ca&'n�ratt+r�US C1'A IU No
<br /> Southland Corporation
<br /> 25422 Trabuco RD. Vtrsor,to C,,nrlL(
<br /> *105-269 Scott Fletcher
<br /> FAXY Cultow,r \ -%nt Nurnbtr with TE'S
<br /> Lake Forrrest, CA 92670 USA (FIV 4§®-}T+9 1002953
<br /> C0111tIlt Int.N n1a toll lt+litM \i Ire Cnn-Lilt lilt«f ht nt k
<br /> Belehire
<br /> 25422 Trabuco Road #1105-269 fen"Itit"C"nittt
<br /> Scott Fletcher
<br /> r\\e "u"'n,r \ „un[\umh,r—th 11,
<br /> El Toro, CA 92630 USA ( �14) 1003238
<br /> Cu,tr llrr ntist, Ilri, p kit Ir, it, i iw? !`r, Cth Ph,n, a r3 rL\
<br /> Lt),I.
<br /> Southland #114117 - ---
<br /> ('74"1%to C inti't Wil
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<br /> 2725 Country Club Blvd. Fetcher
<br /> 1 > L,%0,
<br /> Scott \\�— -- --
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<br /> Stockton CA 00000 USA rtttl'
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<br /> 't i F 1 ilrr, l h ll t i r'l,n r I tr Ph,nt p 1 1,IIrt+ I r o'd Nur 1+t r.
<br /> TPS TECHNOLOGIES INC. 510-235-8778
<br /> t.t.t>n t,,(„nt i t
<br /> 20 Recycling Lane Debra Tucheen
<br /> m
<br /> Richmond CA 94801 USA 510-231-4154
<br /> ll +nr, it 1 \loll, \ IIr, Tr)n.p Ittr, Nit i a 1111—y- *rtt It)\
<br /> Ito it Ct I i Tr r rLr - ) 1
<br /> I #\" - - ----- C I r \ ,r, N iml t r t.It} 1 I ti
<br /> Description of Soil Moisture Content Contaminated by Approx Qty Description of Delivery Gross Weight Tare Weight Net Weight
<br /> S.v,1 J c)rr,ti i J U I(I tJ Ga❑ J /! � I�
<br /> lit 'nr L1 L)LeWl J
<br /> Cl" J 011' r a 111 arttr J Other '� '--, f
<br /> ( In, J W 11 SII J Gas ,
<br /> ,r
<br /> III 2l1 J Dwse1 ❑
<br /> C1,1 J (,Ili J ,
<br /> +rl cr,tr 'J 0thrr J
<br /> Li,t in, 1 tun,I, 1 ni 1,1-1 1 , -- - �— — �— L
<br /> Gil Pit rator ,aril/(,rco)r,n i,Iitl (trftftatiml I/Wt (&rliflt drat tl)& +od r(ftrtnttti lit rt an is taklrl tlrtIr(ly from fho,t 1orl+tit ILribt(i rte flit Silt(Data
<br /> Sh(et torrri1lt It if rand I i rti fir if btu int Ili,for rh, Gem ration Sift .howl,obi t and nothing has beau add,d or dent to •m I, morl that would alt&r if err
<br /> any torts/
<br /> I rtnl to lyh. t�+imt�---- _ (.t nt nt r J CMUhJnl J tie r„iti,rp rod dui ---- hl,nih Ra,
<br /> _�r I Yt,r
<br /> Tranytrlrtt r. +L rlrfn atrtm tMe rrtkno,olttr,�t receipt of Ort c(Irl&-crlbcd abot'e and ctrto hn Of xirl r Iijo i t lrt4 ri if sn t rnCtly flit uantt
<br /> t eonditmrt a% tviietr rt,tittit 1/Wt yth(r nrttfy that this tinll is berrtg dirt,fly tr t fror tfttrraa flit GtPit r n Srtt to ilii DL-,,W)latld Falitrty
<br /> rothotit t f eonink aridilr� tt),,>vaPrractwv frau or in may way delaying rft liv!p it r /
<br /> Pont S+gnat ' � Mont Oo Y
<br /> Gl71
<br /> Dump ant L.�. -
<br /> RecydinX ratrtrty wrifre.tht rrt&iyt of the coil covered by this manifest except as noted above
<br /> Print ur Typt Nam, 7imnd date
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