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' . 1.0/15/2004 10 00 7075701461 AGE—SR PAGE 02 <br /> �4ON»HAZARDO 1 Grsnerafor'x ' <br /> US US EPA!D Na Manifest 2 Pegg 7 <br /> WASTE MANIFEST paCum4nt Ivv ,f <br /> 3 Gener131ar'5 Name and Marling Addrefit — 4114/2004 <br />' 81aby Sales <br /> P.0 BOX 903 <br /> CA 92004 <br />' S Trvrrsporter 1 Company Name 6 USEPA ID Number <br /> I.+ A fraRsporfrr's Phone <br /> 7 Transporter 2 Company Name — — S LCL1670^99 <br /> I"1 I t@r 8 US EPA Il]Number s Transporters Phonr <br />' cycling Searvices Inc. C A D 9 8 2 4. 4~ 4 4 8 <br /> 9 Desrgnn+ed Fatrlrry Noma and Srte address (9)9)873-4141 <br /> 1D US EPA Ib Number �{aplrtlf,phone <br /> Filter Recycling Services, Inc. <br /> 180 W. Monte Avenue (909)421-2012 <br />' R1aI10 CA 92316 GA D-9. a 4 & - <br /> 11 Waste Shipping Nome and Descnpf,a„ ra <br /> 12 Contamc13 14 <br /> Total Un,t <br /> ° NON HAZARMUS WASTE LIQUID No Tye Quiunn a Wr vol <br /> a _b NON �ARD(t)s WASTE SOLID — D G <br /> E <br /> N DSO 1,39SO <br /> R <br /> A e _ D P <br /> R FILTER �RI=CYCLING SERVICES' RIALTO FACILITY, EP�k <br /> d PPRt7PRIATE IT(S) FOR, <br /> AND WILL ACCEPT THIS WASTE A <br /> D Additional Dextrrptions Far Matenalc Lrated A6gvc <br /> 1zA — <br /> E Handling Codes for Waste listed Ahove <br /> ;l WATER ax-�,Q�C.a�� <br /> 11B SOIL aN-va tc3o,,g <br /> 15 5 eeml Handling Inst <br /> P 9 ructions and Add,fronal lnformafron <br /> Wim} appropriate protective clothing CITY OF <br /> MANT.ECA rrCRP(ADVANCED r,,.e o) <br /> 24 Hour Emergency Respmse * (909) 721-2038 2IMANTECA�R953r17 <br /> BILL SLABy SALES <br /> 16 GENERATOR'S CERTIFICATION I currUy 140 mo+vrfab de,cnbod pl7o"or ,his*kunifua era nor sub -- <br /> Pri T ed Nama [ed to fodrrr0l ragulu Aanl For roportlnp 6rmppr dl ow cF <br /> y Sig afore -- �P Hamrdw,R Waete <br /> R1 Tra spa I Acl wlF49eAWnf of Receipt of Matenafa <br /> NA 15nn}ed/7lpe Na r 5r nolo e <br /> 3 J 0 u„n <br /> P — rte~ s /fir Y r <br /> q18 Transporter 2 Ael,nowfedgemunt of Rei,rpt of Matenals <br /> E PrlMed/Typed Nomp — <br /> r�+ SignalV �' Aonfh DoY Yuo <br /> 19 Dtsertp4nq Indlcofran Spcea <br /> F <br /> A <br /> C <br /> — — <br /> b 20 FocHlfy Owner or Operator Cenifrcafron of recrrpt of woite mafenals covered by this man,fCst exeepf as noted in Item 19 <br /> I <br /> T <br /> printed/Typ a 9 <br /> I 7� <br /> V�/e Signature <br /> L � A ionth Dar roar <br /> `� ORtC,Mt4L RETURN TO GEtltERATOfi <br /> f 0* <br />