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NON AZAR®OUS WASTE MANIF, JT <br /> Please print or type �.1(Foree <br /> m designed for use elite(12 pitch)typewriter) <br /> NONHAZARDOUS 1 Generator's US EPA ID No. Manifest <br /> WASTE MANIFEST Document N,:CVo <br /> 1 <br /> 3 Generator's Name and Mailing Address <br /> Trinkle & Boy- <br /> 31244 South Highway 33 <br /> Traay. CA 95304 <br /> 4.Generator's Phone(2 ) 6,7-1006 <br /> 5.T,ansporter 1 Company Name US EPA ID Number A.State Transporter's ID <br /> Advanced Chemical Transport CAR'000070540 B Transporter I Phone <br /> ? Transporter 2 Company Name US EPA ID Number C.State Transporter's ID <br /> D Transporter Phone <br /> 9 Designated Facility Name and Site Address 10 US EPA ID Number E.State Facility's ID <br /> Chemical Waste Management CAT000646117 <br /> 35251 Jld Skyline Road F.Facility's Phone <br /> Kettleman Cit' CA 92239 559-366-9711 <br /> AiASTE DESCRIP?ION Containers 13 14 <br /> Total Jn.: <br /> No. Type Oua:li W1,V1, <br /> „Non Hazardou3 Waste, Solid <br /> G IQ R11 <br /> E <br /> N <br /> E <br /> R <br /> A <br /> T <br /> O <br /> R <br /> U <br /> G.Additional Descriptions for Materials Listed Above H.Handling Code=_for Wastes Listed Above <br /> a <br /> n <br /> D <br /> I 15.Special Handling Instructions and Additional Information <br /> S <br /> J 1) 6027-S:6 6,4 r TRC(UO 1 1 D O S , <br /> S <br /> C Pro-iect Number: CV01723 <br /> t � I <br /> 7 <br /> 7 <br /> 16.GENERATOR'S CERTIFICATION:I hereby certify that the contents of this shipment are fully and accurately described and are in all respects <br /> in Proper condition for transport.The materials described on this manifest are not subject to federal hazardous waste regulations. <br /> Date <br /> P!nted(Typed":acre Signature Month Day Yea! <br /> e 'G, ra a a 1 <br /> T 17 Transporter 1 Acknowledgement of Receipt of Materials Date <br /> R <br /> A Pri 'Typed N e Month Day Year <br /> N1 C� <br /> S <br /> P <br /> 0 transporter 2 Acknowledgement of Receipt of Materials Date <br /> R <br /> T Pnnted/Typed Name Signature Month Day Year <br /> E <br /> R <br /> F 19 Discrepancy Indication Space <br /> A <br /> C <br /> 1 20.Facility Owner or Operator:Certification of receipt of the waste materials covered by this manliest,except as noted in item 19 <br /> L <br /> I <br /> T ?tinted Typed Name Signature Year <br /> Y <br /> CF11 4 7 2002 LABELAASTERO (800)621-5808 www.labelmaster.com 1 <br />