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i y �i gull Ye� <br /> NON-HAZARDOUS 1 Generator's US EPA ID No Mom fest 2 Page 1 <br /> WASTE MANIFEST 9Do�unientfila of 1 4/22/2004 <br /> 3 Generator's Name and Mailing Address <br /> Slaby Sales <br /> P.0 BOX 903 <br /> BOT.'REGO SPRINGS, CA 92004 <br /> 4 Generator's Phone( 888 ) 701-6600 <br /> 5 Transporter 1 Company Name 6 US EPA ID Number A Transporter's Phone <br /> FILTER RECYCLING SVS, INC -NO IC A R 0 0 0 1 2 9 3 0 4 (510)670-9901 <br /> 7 Transporter 2 Company Name 8 US EPA ID Number 8 Transporter's Phone <br /> Filter Recycling Services, Inc. IC A D 9 8 2 4 4 4 4 8 1 (909)873-4141 4„ <br /> jI <br /> 9 Designated Facility Name and Site Address 10 US EPA ID Number C FacdHl/s Phone <br /> Filter Recycling Services, Inc. (909)421-2012 <br /> 180 W. Monte Avenue <br /> I Rialto, CA 92316 ICAD 982444451 <br /> 13 14tainers <br /> 11 Waste Shipping Name and Description 12 ConTotal Unit <br /> No Type Quanta Wt Vol <br /> a NON HAZARDOUS WASTE SOLID <br /> i D i _2,z5_e) P <br /> G b - t1L-S uJA&Ce GLQ_ cD <br /> N <br /> E f[y�� <br /> A c FlUrER HCCYC'i_lNG7 SERVICE& RIAS.'' O FACILITY, �'RA <br /> R #CAIJ98?_444481 HAS THE APPROPRIATE PERMIT(S) FOR, , <br /> ri <br /> AIN-a WILL ACCEPTTHIS WASTE AS SHIPPED <br /> D Additional Descriptions for Materials Listed Above E Handling Codes for Wastes listed Above <br /> 11A)SOIL <br /> 4� <br /> 15 Special Handling Instructions and Additional Information <br /> Wear appropriate protective clothing ADVANCED GEO ENV(RMB GARAGE) <br /> 715 N. HUNTER ST. <br /> 24 Hour Emergency Response # (909) '721--2038 STOCKTON, CA.95205 , <br /> BILL SLABY SALES ; <br /> 16 GENERATOR'S CERTIFICATION I certify the materials described above an this manifest ore not subject to federal regulations for reporting proper disposal of Hazardous Waste <br /> Printed/Typed Name Ssgnatur Month Day year <br /> u� <br /> JAACt I` f,roc_L rZy' c) t 4—l- <br /> T i7 Tra sporter 1 Acknowled ement of Receipt of Materials ` <br /> APn d/Typed Nome Sig ure e641-65 D *, <br /> N <br /> S <br /> p18 Transporter 2 Acknowledgement of Receipt of Materials ` <br /> TPrinted/Typed Nome Signature Month Dory Year <br /> E <br /> R 46 <br /> 19 Discrepancy Indication Space <br /> F <br /> A <br /> y C <br /> 0 Facility Owner or Operator Certification of receipt of waste materials covered by this manifest except as noted in Item 19 <br /> Y Printed/TypedSignature f Month Day Year <br /> "� 106010 3 10 <br /> ' <br /> ORIfnIAL. RE's UR ro GENERATOR <br />