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Dec 27 2816 16:59:39 CST FROM: F'M/5BH46309011 MSG# 17369354e1-9H5-1 PAGE H19 OF H62 <br /> Pickup R©coipt <br /> 15305 Sprino Avo Pickup Datat M4/2015 <br /> Slilltd Fe springs,CA 90670 <br /> HAauter an4 end U5* fwac ity EDT Manifest g: 1101426997 <br /> '1'rlaek; 42346[Y <br /> 150T Trip Log P. 525690 <br /> Lioanso Number: State:CA i 9F34429 <br /> Stade: CA Score No,;WA01554 <br /> Dn a1; 15.06938 WAL MART STOCKTON <br /> 3223 E HAMMER LANE <br /> STOCKTON.(,A 95212. <br /> Telephone#:M473-3438 <br /> TPID 1331982-01 <br /> ITENf �_.�.__,.._ ...._._._.__.�_..,..... <br /> _,..._..._.,......................._..,...............,...,.,........., _.............._..... . .... _.. . <br /> Tcafler:5783 _ u . .....,,,,.............. ...._. ,..,_..,...__,._M „. ... _...,,... ,........., <br /> ,. ,.. ,., 176 <br /> Total: 175 <br /> 100rtily Viet undk r uvnplty of parjury unoor tN o{awe trr itw sin to of I coryty,Ihnr unbar punoity of rwt-lrX unvoe tha Icvwt of Iho PWUd W <br /> Calilor to Ihat 4V informalIon provided&bran Is trve ttnd WOW, Califmnit thea 93ti inl ninon pwidod above Is trio al)d MMM In <br /> ndormn,f oin,twam rnxt iviok"kAmn of min Inrormmim rruqYmnull In <br /> a;arkpei%'on,myoc9oM cti danlAJ of rohaw(M of tha Waste)The bt:sulor <br /> Roglatrrpon Dcriliewt to Wualdc RWurces Loft sa6mion 42969 and may <br /> result in dyl:twnartttyv up to$".Goo por duy.wr vM(10011 or <br /> atluwnistrattIvtr puPWVva up to$5.000 p&vioid on yyr day us descail� <br /> Irl Nt)flc Ra600(Coo(;pop Zactlon 4.1042, <br /> GetnefEalor Ddvor Signature <br /> rfagrk iORGE ROTEL© <br /> r <br /> 07 <br /> r <br /> VVVV J .� , •� d <br /> d � <br /> r <br /> Confidawi2llty Claim-,Inn nlr?rmnrlpn pruvftlad on IhI.form shouts(M oonctdorod cofdfffant;01,ptopr vm and/pr Wide <br /> �ptUM4;f, tourat,In n4wT"nu¢whit Talo 94,CM Syctlutt 17049 4Lmg,tthoyld wiv Ittbntlear ll'1110 Public 10quaad zbe 404 of 1hhS <br /> u7 o r� ulfomrutJon,I rdquara!Ihsa CrslRdtryrta w!rtgtl me all thr.btJdrosn er4 tobtarlone numbttr nbwo, ; <br /> "t Ewtronlc RoporHnp Io CatRecycW-,I,>awin Tim V,49M has linen outtx>rLznd t)y Calkecyrso f c Danlrip,)tn In me.Wnsla and i <br /> uanct Tiro Marttifest EGT olootronlc roLY Wnia p en,On twttall of"cutlom*r 6filed on alis form,Loktfl Tim Woot will <br /> elect Ncnlfytranam«10 CnfRocydc all rcqulrod ini rmatio from Nle man$ata. Cbli:acgdC haft approvMmo Lakin Tim i <br /> W"l EDT form for utw 014411 M Wtaata TIN UMMfetir Sy:%tam EDT prgijrrarh, <br /> 3. <br /> t <br /> f <br /> t <br /> l <br /> k <br /> t <br /> t <br /> L� <br /> f <br />