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PS Technologies Soil Recydi w <br /> Mt311.IfeSt Non-Hazardous So><ls �' �`��111lar!lfBStt# � <br /> Al�'4 ��'JW R <br /> Dated Shipm t 1��n�Te$Eox O�ment Tr)ansporterEaaj <br /> FaAW G T 5 <br /> L] L f� <br /> �v i n s Pl Guterator s US EPA ID No r t <br /> ULTgAI7Aka d B�1}�ti Address (c � S —5545 <br /> jN� <br /> 525 WEST THIRD STREET 1'ersontoContael <br /> TERRANCE FOX <br /> Number with TPS <br /> Cu yr <br /> HANFORD, CA 93230 USA r( (a9) 583-3282 )o����1 <br /> Consultant s Name Ind BilliAddress Consultant s Plione# <br /> HORIZON ENVI9ONMENTAL (916) 939-2170 <br /> 501.1 GOLDEN FOOTHILL PARKWAY 1dWOC10K£R <br /> SUITE 7 - <br /> FAX# Cus o i Number v`rth TPS <br /> EL DORADO HILLS, CA 95762 USA (916) 939-2172jjjj <br /> Guterition Sue(Transport from) (nine&address) Site Phone if Bf EX <br /> BEACON STATION *1-641 (209) 583-3247 Levels <br /> 1210 EAST HAMMER LANE ! - Person to Contact "Le r <br /> JERRY UNRUH Levels � <br /> c <br /> t0 FAX# AVG <br /> STOCKI1 OH, CA 95210 USA (209) 583-3282 Levels h <br /> Q <br /> V Deign tied Facility(Transport to) (i:rrnfr£>a tdre s) Facili Phone# Facility Permit Numbers <br /> (5 0) 235-8778 <br /> o TPS TECHNOLOGIES INC. <br /> 20 RECYCLING LANE PC.on'fi?cet/D. Muraah ma <br /> C FAX# <br /> RICHMOND, CA 94801 USA (510) 231-4154 <br /> Transporter Name and Mailing AddressTra <br /> (ns <br /> 865)s 399 0241 Transporter s US EPA ID No <br /> LUTREL TRUCKING <br /> 6315 SNOW ROAD Person to Contact Transporter s DOT No <br /> HERMAN <br /> BAKERSFIELD, CA 93308 FAX# Cu tUim"ttNumbervnthTPS <br /> Description of Soil Moisture Content Contaminated by Approx Oty Description of Delivery Gross Weight Tare Weight Net Weight <br /> Sand ❑ Organa U 0 10% ❑ Gas U <br /> 10-20% ❑ Diesel ❑ I <br /> Clay ❑ Other U 20%-over❑ Other ❑ r= <br /> Sand U Organic U <br /> 0-10% ❑ Gas ❑ <br /> 10-20% ❑ Diesel ❑ <br /> Clay U Other U 1 20%-over❑ Other ❑ , ¢ <br /> t� <br /> Inst any exception to items listed above <br /> Generator's andlor consultant's certification IlWe certify that the soil referenced herein is taken entirely from those soils described in the Soil Data <br /> Sheet completed and certified by melus for the Generation Site shown above and nothing has been added or done to such soil that would alter it in <br /> anyway �N F-t)�--� L• f Ml t R--T1mc <br /> Print or Type Name <br /> Generator U Consultant U Signature and date Month Day Year <br /> Transporter's certification Il We acknowledge receipt of the soil described above and certify that such soil is being delivered in exactly the same r <br /> ccondition as when received Il We further certify that this soil is being directly transported from the Generation Site to the Designated Facility <br /> C without off-loading,adding to,subtracting from or in any way delaying delivery to such site i <br /> s <br /> Signature and date Month Day Year <br /> I' <br /> � nnt Type Name � w <br /> t <br /> Discrepancies <br /> T <br /> V 3� <br /> to <br /> C Recycling Facflfty certifies the receipt of the soil covered bltthis manifest except as noted above .,r <br /> UPrint or Type Name Signa a d date + <br /> Iro vi L �l <br /> pleaBe print or type <br /> TPS INVOICING COPY <br />