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NON-HAZARDOUS WASTE MANIFEST <br /> 0". se geht w Type !Frym desnrrt;!a :n elite(12 path):yper+Titer) <br /> NON-HAZARDOUS ! Caenelalo!sUSEP.A'DNo tJarnlest <br /> WASTE MANIFEST <br /> 3GanerK s.JameapdMailing Address <br /> l'rInKie 6 t30" <br /> 31244 South Highway 33 <br /> Tracv. CA 95304 <br /> GenerarofsPhone(c09 ) X167-1006 <br /> 5.T:ansoMer I Company Name 6. US EPA ID Number .A State Transporter's 10 <br /> Advanced Chemical Transport CAR000070540 B.TtansponerIPhone 408-548-5050 <br /> Transnerter 2 Con many Name R VS EPA IC Number C Stale Tia^sooners IO <br /> D TransMilar<^Phone <br /> p pnsg^„;.M Faobty NamP and Si!e Adc'ess to US EPA 11?Number E.State Fac-My's ID <br /> 1 <br /> Chemical Waste Management CAT000646117 <br /> 35251 Old Skyline Road F Fac:lmy'S Phone <br /> Kettleman City, CA 93239 559-3815-9711 <br /> 11 WASTE OFSCRIPTION Containers 13. 1�. <br /> Tura! Una <br /> No Type Ouantihy WI.Vol <br /> a n <br /> Non Ha$ardous5 'aa-te, 3e•lid I D►'nv l P <br /> G ` <br /> E <br /> N <br /> E <br /> R <br /> A <br /> T <br /> O <br /> R <br /> LUG.Add!(ortal Descr!ptlons for M.awnets listed AL,,)ve N banding Codes for Wasles Listed Above <br /> 0 <br /> a <br /> � i <br /> Wi <br /> 0 <br /> �o - <br /> fi .r L�jJCCNd ItOnW.r'AIr:y1rUG1�D•ti:VK1 n.fi•'ro•:•�r•:!ar..wr•... <br /> Q •. <br /> Q 1) �,'UlZS �.,A -.Ru- e0 <br /> = Project Number: CV01729-01 <br /> Z <br /> 0 <br /> z <br /> 16.GENERATOR'S CERTIFICATION:I hereby corbhy that the contents o1 this snrpmen!are Iuliy and accurately described and are rr 21';eseeca <br /> 'n-raper ccr6 ion:cr Iransoon The materals described vn fila momtesl are not subp_cl Ie ederal hazardous waste reva!ions. <br /> Dote <br /> r 1cd•'Typrtd Nart+c <br /> Sign3'arg Mont.+• oily Year <br /> VebC40-C ?A0 W/ - <br /> T n Trans;>rter:Ack nowle docmert^t RRczvpt o'+laler•als Date <br /> R „I t Mmlh.. Day Year <br /> A Pr}fid' yp PJame <br /> "s l I� t� f✓� c�l���i11211 D <br /> 0 1e. Tramporter 2 Acknp+r!c(Jg&mP.nt of Receipt of Mater als Dare <br /> T 'nmvdTypee Name Srmroturc Month Day Year <br /> E <br /> R _ <br /> F 19 D.screpamyIrdca:rm Space <br /> A <br /> C <br /> 20 Facilily OYJnei o:OMalar”Cerldtcallon of receip!01 the w.aSIV materials covered by this manifest.except as noted in:rem 14. <br /> L D7te <br /> ' M0n1h 0.19 YPRf <br /> T Printetlr'T ypeO Name Signature <br /> Y <br /> CF14 *2002 LA6EO.to FJi® (8001621-5808 www.fabelmaster.com <br />