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NON-HAZARDOUS WASTE MANIFEST <br /> Please print or type (Form daetanad for use on elite 112 ptch)Mo6wMer) <br /> NON—HAZARDOUS Generators US EPA 10 Na Manifest 2.Pape <br /> WASTE MANIFEST " —(�( of 1 <br /> 3.GaneraloYs Nerve acrd Matkrp Address <br /> r Trinkle t Boys <br /> 31244 South Highway 22 <br /> ;. Tracv, CA 95304 <br /> yr 4.UsnermcifsPnone(209 ) 467-1006 <br /> 6.Transporter 1 Company Narne 6. US EPA ID Number A.State Transporter's 10 <br /> Advanced Cheatical Transport CAR000070540 &TransporlerIPhone <br /> ?' 7.Transporler2 Cor pwy Nara 8. US EPA ID Number C.State Traaneporter's ID <br /> C.Tronsportar 2 Phones <br /> ~y,•` 9.DoWi;i sd Facility Name end SM Address 10, US EPA ID Number E.Stats FaclitVa 10 <br /> Im-trat Inc CAR000150599 <br /> 1105 C Airport Rdnri <br /> F,Fadi Phone <br /> Rio Vista G 94571 -753-1829 <br /> EON. 1 t.WASTE DE3CRIPTiON Containers13 14. <br /> Tottil� No. Type p city Wtivo� . <br /> r: <br /> a <br /> €' Non Hazardous Waste Liquid �-� 6 <br /> 09 <br /> Q b <br /> E <br /> N <br /> E <br /> R ` <br /> A <br /> T <br /> O <br /> R d. <br /> G.AddMorel Descrptons for Matarlele listed Above H.HarK&g Codw$or Wssws UstadAbove <br /> 15.Special Han AN Instructions and Add onal Into m stlon <br /> C F. <br /> 1) LIJA rE z TRS�ro r , o o z C 2 x SS%r 1 �, <br /> y: Project Number: CV01729-02 <br /> . <br /> 1rf.Game"Topra cER nFICA-n0N;I hereby cad shat the oontenta of thla shipnarrl ane fully and accurately deacnbed and are In all respects <br /> in proper eondition for transport.The maanW dsacrfbed on this manIfeal aro not su"ct to federal hazardous waste ropulabona. <br /> Dete <br /> Primed,typed Na—e marwh VAY Yee <br /> R bel--t-a f C !I r l r <br /> T 17. Trcmportar 1 Aoknowle t of Receipt of Matsrala Date <br /> Pn ed Name Sig C MonM Day Yee, <br /> r1�4 22..ra,� I 11 <br /> Ito <br /> p 18.Trernpoitar 2 AOmMadgwrant of Recalpt of Mntarlels Date <br /> TT PrrMedlTyped Name Signature A/atlri Day Year <br /> R <br /> F f9.Discrepancy lndcabon Space <br /> A <br /> C <br /> ' 20.Fadllty Owner or Oparator certil on d receipt of the waste matsrlela pawed by Ihla manliest ermept ea nosed In hern 19. <br /> L _�� Date <br /> 1 r. <br /> T PrSignature "croh Day Year <br /> CF14 C2002 LABUAA5TEIt• (800)621-6608 www.lat)elmaster.com a w iw <br />