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P 0 BOX 070 <br /> REMEDiAL <br /> 2680 Seminole ,%verrup . Lynwood California 00PA, <br /> TE CHNC)L0G4'HS '3231 357-190() - s 3 c (:��`, 57 1 909 - X8001 (1(]s i�Nr1 <br /> ' 1 <br /> NON-HAZARDOUS <br /> ,Pr1nratr)r US EPA 10 No 2 ManifpSv Por iimnnt rin <br /> � <br /> WASTE MANIFEST , <br /> 3 Generator s Name and Mailing Addrnsv r 5,tq Addrr+ss " <br /> Z' YC+rs(Z.ai L.3nd11»T1,t.ir1,' 'l),1 C aFt F J—fil(%fit <br /> ' Generator s Phone No — <br /> 5 Transporter F Company Name 6 US EPA 10 Number 7 Transportrr�Phonr tJ) <br /> ,1 Torres C,n t_ r; l1148 () fi1t j 1) It; ( I, l ti 'e' l <br /> 8 Designated Facility Name and Site Address 4 US EPA 10 Number 10 Farility,Phnnr,Nn <br /> American Remedial Technologies, Inc <br /> ' 2580 Seminole Avenue C A 1, 0 0 0 1 3 1 0 3 4 (121) 357-1900 <br /> Lynwood, California 90262 <br /> 11 Waste Shipping Name and Oescr,phon <br /> ' Containers Total Urnt <br /> Ouanhty wt i Vol <br /> No Type <br /> Non-Hazardous waste, solid. <br /> Soil contaminated with hydrocarbons <br /> 12 Speaal Handling Instructions and Additional Information 55 ARTM; pcvval No ART Job No <br /> Wear appropriate P P E <br /> Wear gloves and goggles <br /> s- tifiw��rz <br /> r <br /> Is the soil subiect to l 1;,16 70 230222 <br /> 76 <br /> y i,a <br /> Weight Ticket <br /> 3. 1El1@AATOR'S CEMWICAM N 1 OWRY the matetlala described WVve wi this mwfiftal areno oiblitild to qiladhwons for repoking disposal of Hazardous tMaate <br /> Pnnted 1 Typed Name Si�ra�ture / Month Day Year <br /> - <br /> �S <br /> 14 Transporter 1 Acknowledgement of Receipt of Materials <br /> ' Printed/Typed Name Signature 9 Month Day Year <br /> I r <br /> 15 Discrepancy Indication Space <br /> ' 16 Facility Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted rn Item 15 <br /> ' Printed Typed Name Signature Month Day Yf+gr <br /> Irving C hUna/'30- ve �_'a iwq <br /> GENERATOR'S COPY <br />