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f � TPS Technologies Soil Recycling "y Manifest Manifest Non-Hazardous Solis . LvadU, # Date of Shipment- Responsible for Payment Transporter Truck# Facility# Given by TPS Generator 04 00014 4 Gener itor N imp ane ilhng Addn�s Guicrator s Phunr# Gc neratnr s US EPA LU No T R A M A R,1'4 I H C. Person to Cant rpt 5 W T THIRD STREET FA ERR*N61N Fe* CuslO.t.r Account Number with TPS HANF D CA 93230 USA : Con,ult int s N3mc and Billing Addres5 Comultant s Phone# — i rn 139-2 170 HORIZ � ENVIRONMENTAL PtrsontoContact 5011 GbLDEH FOOTHILL PARKWAY GARY BARKER SUITE 1I FAX# Customer Account Number wuh TPS EL DORADq HILLS CA 95762 USA 13TGcni)cration Sitc(TruisPort f (++aint&nddre 5Q bite Phunc # Levels BEACON STATION #1-641 r'crso o,tac TPH 1210 EAST AiAMMER LANE Levels i� FA AVG Levels C U Dcsi�,nated Facility(Transport to) (itanu&addri q0 Fan i y hone # Facility Permit Numbers >~ (5300 -235- 8770 TPS TECHNOLOGIES INC, Person to Contact 20 RECYCLING LANE Cheron Rice/Don urashima O FAX# a Trans niter's Phone# Transporter s US EPA ID No CD Transporter Name and Mailing Address P C3 — LUTREL TRUCKING ` Person to Contact Transporter c DOT Na 6315 SNOW ROAD HERMAN .* FAX# Customer Account Number with TPS BAKERSFIELD CA 93308 4LUTREL Description of Soli Moisture Content Contaminated by Approx Qty Descript&of Delivery Gross Weight Tare Weight Net Weight Sand ❑ Organic❑ 0-10% ❑ Gas ❑ 70 -1 10-20% ❑ Diesel ❑ w / ��C� -3 1 JJ �� 5 D J Clay ❑ Other ❑ 20% over❑ Other ❑ g _ r Sand ❑ Organic❑ 0-10% ❑ Gas OT__ 10-20% 0-20% ❑ Diesel ❑ x. Clay ❑ Other ❑ 20%-over❑ Other ❑ List any exception to items listed above Generator's andlor consultant's certification Il We certify that the soil referenced herein is taken entirely frog those soils described in the Soil Data 4 Sheet completed and certified b me/us for the Generation Site shown above and nothing has been added&done to such soil that would alter it in any way U t C;enerator ❑ Consultant ❑ Signature and date Month Day Year Pnnt or Type ami�-- Q� L Transporters certification Il We acknowledge receipt of the soil described above and cer fy that such soft being delivered in exactly the same i ccondition as when received I/We further certify that this soil is being directly transported from the Generation Site to the Designated Facility CL without off-loading,adding to,subtracting from or in any way delaying delivery to such site ;! W Month Day Year Print or Ty��e Name Signature and date ti f<-( f� LL1SEE - Cvvmmlrib5 -TK � ' Discrepancies f} V t Recycling Facility certifies the receipt of the soil covered by this manifest except as noted above USignature and date � Print or Type Name m Gr 16 t� Please print or type 16— TPS INVOICING COPY Z_Z!