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SeP 08 03 04: 41p 949-589-7910 p. 2 <br /> Y TPS Technologies Soil Recycling = <br /> x <br /> .' +, � Nan-Hazardous 5tax1S <br /> c a PS Load#ILI i <br /> Date of shipment Responstble for Payment Tmnsporter'riuck• faA0 fr E0iven by 3 <br /> Canst�lball L AIG7 `O9$,:� Chi 11 <br /> Ccrnrator s Name and[10ing Addruss Generator s Phone M Gen�ritor t U5 EPA 1D No <br /> PIiC <br /> PO BOX 5095 RI Ii .3 E- OLAQ10 person to Contact <br /> FAXN Customer Account Number with Tr'S <br /> t <br /> SAN RAMON, CIS 94583 IDSA 7PACBSR <br /> tartaultant{Natne and Otlitng Addre" Consultant's Phone W <br /> EXCELL EXCAVATING, INC. rFAX <br /> 71y � 249--22;15 <br /> P. O. BOX 6176 on to ccvntaet <br /> MARK TEPr{PLETOIV <br /> H CuslomLr Account Number s+tth TFS <br /> i-AGUNA NIGUEL. CA 9`B07--617 , USA714% ^49--2265 10I212-5448 <br /> Generalton stir-(Tnn,part from) {rrnrrteC+nddresaJ SCh Phune# BTLX <br /> iL'+LI' <br /> SBC/r-'AC bELL - TF:t`Z-C7 -EXCL1 <br /> Pr.mon to Cunt-ut_ TPH <br /> [.L+r_Is <br /> l icl E. 12 l:)-i 5 t "� <br /> IFA X# AVC <br /> to TRACY, CA 00000 USA tear), <br /> >~ Facility Ptnnd N1211113L s _ <br /> Ciratl,natrd factlit?(Transport tv) firnon &addrrxti) 1'nnitty Phone R <br /> a <br /> TPS l ECHi~J©LOG[E5 (Selel) BEr2--80'r�l <br /> Person to Contact <br /> W 12328 HIBISCUS DELLENA JEFFREY ' <br /> i FAX* <br /> l <br /> ADELANTO, CA D2301 USA ( 760) 246-6004 <br /> m [ronspurtL7 Narrie end M ithn6 4ddrx4 Transporters Phone p Transporter s US EPA 1D No .r= <br /> xef <br /> � Tru{, DOT N <br /> orter s n '1' <br /> Ppt.rson to Contact P { <br /> t cci 1L—AA FAX* Cuslomur Account Number withTl'ti <br /> Description of Soil Moisture Content Contaminated by Approx Oty Descnptlon of Delivery Gross Weight Tare Weight Net Weight <br /> Fr <br /> y Sand ❑ OryankA 0-10% ❑ Gas ❑ <br /> Clay -1 Other 1 10-20% ❑ Diesel ❑ 6 <br /> 20%-over❑ Other ❑ t 1 -r <br /> Sand O OcTonic Q 10-12D% Q Dlewl Ll tak <br /> CL,y U Other ❑ 20%-over❑ 1 Other ❑ <br /> Lai any estrpdon to mems]Wed ahoy <br /> x ' Generator s and/or consultant s certtficatron 1/We certify thaf the sort referenced herein is taken enttrely from those soils described to the Soil Data <br /> done to such sort that would alter tt m <br /> Sheet completed and certified by me/us for the Generation Site shown above and nothing s begirt added or <br /> w: any awy <br /> n <br /> Print or Type Nan— lLt to S� a Cans Stgnahrre and date nth Dov Year <br /> IS <br /> Transports) s certtftcation t/We acknowledge recerpt of the soil descn1wd above and certify that such soil rs being delivered inexactly the same <br /> "a o condition as when received 1/We further certify that this soul is being directly transported frwn the Generation Site to the Designated Facility <br /> without off-loading adding to subtractrng from or in any way delaying delivery to such site ; <br /> hIt: 5tgnature and date Month Day Your <br /> } <br /> t4r or Ty Vame <br /> '+ rcpanctes. <br /> ti <br /> CY ;� <br /> xf <br /> al <br /> � >Zecyclrrig Facility certifies the receipt of the sort covered by this►nanrfest except as Crated above <br /> Prim rm Type Name Signature and date <br /> D. JEFF REV/J. PROVAIVSAL/R. DAEPR <br /> 09/08/03 MON 15 45 [TX/RX NO 5648; Z002 <br />