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STOCKTON REGIONAL WASTEWATER CONTROL FACILITY 80640 STOCKTON REGIONAL WASTEWATER CONTROL FACILITY 80641
<br /> WASTE HAULER MANIFEST FORM WASTE HAULER MANIFEST FORM
<br /> TO BE COMPLETED BY WASTE HAULER BEFORE ENTRY TO BRIWCF. 11.9E CCIiIE Tw BY WASTE R ER BEFORE EMRy TO SRWCF.
<br /> PLEASE PRaaT ANOP a D, OR RLEa -NNAt1NOF.EACCfyTBO- gEASE F' Nf N.e pIN1EYYSL.EPpRIffl.1.Rb71MAC1;9-
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<br /> laid:iWPghe WkWW tool Read e-Mallue wbl Ee W.by SRWCF. b.di eWRbadditi-I Nrmw RLndpm s.dlk.tbn It he nwd.by SNWCF.
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<br /> Adbea: Add-: Address: AWN—
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<br /> TOTAL QUANTITY IALL TOT OaAN (Ali Searees):*pl,
<br /> AJIw Wa-Type:PlvaNpbcoblo hvmbw b.4-FNrdbia abaei A,bw.bMWe TT :Planappkwwnumb In a pq+bed abuse.
<br /> 1.Peal.me.I SePbB. 2.Np ,,r,re 3.Rerb.laM Gne Innb plu 4.° aal Owerpe pleBe M 1.R.9d.-Sa 2 Put de Tdl.1 er-W wMA(`w-a An pla 4.S iq DcKhsrpa•'
<br /> •sdnlL.er��mgrd,dakn vrur.aMr.ipelnlN.p.-Il+r.M InaeaMd •sw-weueeleryr.AmA brdfoa and mp..te pskon r+e.a no,-
<br /> ^A aped/T--p OTeaklvn nr.pppmyp ay V*OFp..TadBd_a da.ed. "Sp WPerm)aam W ap Icwl am.pmoyw W SRwCF wbmae WNemAwa.
<br /> I,me bd.w ruined MM I.+PUIer,dedere yrTWr penury d pwpay,d b I,bop of my km i dpe I are as Mtely I,to barb.named Walt la l.r,derlem ands p 14 el p F,.-1 to the best el my Nvo ge I a.e aea W1,
<br /> tle iib.dIM,yp.nUy. r.I p d.wastes whliB raw Mpsasl le rtsp ed al IFe SRWCF.IP1.50 declare. wd&pe aw ype,gwy.daa Mal p d 1,iffam�r ny Inpr mquas[pdilpow del N!SRnGP. ewp spry-a,
<br /> wdN perAryn psy.y,1M I aRs paaaay myarie try Ia e..ar-oxner a e9nra.or ttalpenN d lne papeWy sMNe Inds xneiY M perpey,Bw l waa pemmaly inidmm by me rimer,srarers agent,pronlupanu of lhs PrOperl3'where
<br /> N16%eala lYm llllN.EaF INMparlMi'M4MBS�e-Inatmis waeM.� Ulu aNy reE�dedcldl Mo w w q+.-ar In 61B Ilia eaNewa r-w.plgrgpppprSl knpvAetlpe,Na7th5 Wd61.�praams Only mY&.Wlaep.V.Pease,ar In Ple
<br /> CAa d i Sa.dLl PermE Y nit h.�rdmor ad dom rot e-prevor A,mAh-F!limas,as pa Pmaeabne VS-- as of a Special Pd.m'IL o ea ua m Idn and dole not axzee.Rer oudY eomrfaed Emtr,as per Pr I,0 AVSw
<br /> C-ni.lin-bl.lwa.plLrv.Wrda.aarrlAy dswrfrry.ma[ma WtLislueedmuanaPM b:a wastemahoa o7all +.amid reglA�emenB.lysp da[T.+IR�ygnrpormAy olyellorY.a'a,tla lrvch[alased tp bilrrppn wa wMN was hoedal
<br /> mabrpg drYedadr ad by Lvls W a hemrdwe,nl t a sabal.aw m1 fim.d xad I am aware of aw pgadl.gns maranak w11,1,1ad by tw as a here dons naF10IX SObelpnpa IN Ina-of saki us..I am-d Lhe aridibbns
<br /> atd mgalemeaN d Eve ftm.H.aw P.e.b. Faros•1 a wr+d-folio m apuyady d.shha de ab- and rpeu.errmtne d to W.lea Roots Pahl., FlMhar-r prwp tnd-1 U.Iy b epwraty d da t saws
<br /> iJanrANpn a mere b aaarply reds my Wmba HY d,,Pvmp a dw erg appF:LbY SRWCF t.DA.may-A In Pe iMpmyl.•n or tiller b comply w.h my Wpke RauYr Pom4*,4W ery eppNaable SRWCF regl7adm,may mwh r In,
<br /> w n,0 i.Wpw6md/my Wee+-NwAer PIMA wIWe Darr pstdYea pm.y b.LBpaid by ten. ilenlenlaleY waial amy Ynlla lw Permll arvdn NB.r pelu•I®as may be aiow�od tW law.
<br /> aaep O.1L& l-6- .nd TYne mdwasageat SNWrCF. Cutup Dab OcF0a'�js -2-!/ .rtlT2 of uscarpe ll SRWCF.
<br /> vv_.N Sgnmap W'aru l,LrAN SiVwt+l. lrlll,�llP� Last .
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<br /> STOCKTON REGIONAL WASTEWATER CONTROL FACILITY 82879 STOCKTON REMNAL WASTEWATER CONTROL FACILITY 8064E
<br /> WASTE HAULER MANIFEST FORM WASTE HAULER MANIFEST FORM
<br /> TO BE LOMETED BY WASTE HAULER BEFORE ENTRY TO SRWCF. 70 BE COMPLETED BY WASTE HAULER SEFORE ENTRY TO SRWCF.
<br /> PRIIIT AND .lc LFyF DAlr1.F.O1RIt Fqq.ywii Apt EB lCC[PIEW r, O, ICDYPLFTE OR al[-0bY NOT bE
<br /> WeaN 77ederDaepWlY Name / VdIkM �/(,[,C•"([� WakM loaner
<br /> Vehlda Lk No. D'eMJ--]0.7S KeyB Laadf W-Lkurne Na. O.N NryY lmd.
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<br /> rbH'AaarIMllN'a hf.n roN iaPaa.a'.dlyYkp tlea type ono quanilry a,e[ed.B more Man Hour sources n tNa rrasta rwR wamm Ira,eeeh se 'y.Hlytag Ihp tyae and q...bly ettd II mar tan lour-In the wmla
<br /> teal,L1Y4Tr.iWBaeWfamY ffunwi.RPNIoNv.XllnllWrnadeby SRWCF. lone;eesch add1it-I fume Random.elllcaucn veal Go mad.aY SFI C.
<br /> 1.Numb G 2.Nma' 1 Narra:�Q�If�lh? �In✓rlp z Nam.
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<br /> D.W. - TIP. ,P.M. WN: Ti.a:�lrl PM. oaN. - ltires J•. Oali', 71me LM.P.M.
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<br /> Oho, T- AN.PAT Doe 7Yre: •M PM. Ode' ime. a-.pkc D.ffr im AM.PAL
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<br /> TOTAL OBAHTNY[ALL Saur.bLl q.L TOTALgDANfRY{All Boum.Nr'/�n Q�I,
<br /> AN.w WLh.Typo:PlanAPpbalaN nl W In IPTN.PnIVNW Poole A,Iewabla Wlaba Type:Place.ppllrabenumbs In.plea prosldadabove.
<br /> t.Residenm Septapa 2,Pdbbb7p 3.Pe:,aumra Gmase lnheoeaor 4.Spda1DF[h w' 1 Resianealseptaae 7.Fan a TolNr 5-N.pbwaMOreawl,W plw {.Special Disdiaryo••
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<br /> "Aauald PonM mualbe[anVexanvoeepniae b/9RACF pebm paWrycaobwed. SpecY PemnrnuYae eoegekdeMapp'mtE b/a(k1W aeMe dedwrpe bei¢wed.
<br /> I,me below name.wasY Naybr.Oetlare Ondar PaaRY d peOrey,awl W NC lwA d my krlodedpe 1 l+rre wd.am Y I,pre belO.v nanrpd wasl.IaulA',dam.urew p. Ity d poNM.VIM b Wa a .l my.non.W I five.-..y
<br /> desr✓aed iiO lYpu,qusMrty.nM wur[adall weatk wlihlw.mquoat to.ispuse daM SWwCF.IfuNwr oeuxe, J.unbesla typ,quanby,rdeoviceolMweer.vetchlrow mmwel to di.pow.rid 1.SRWCs.I halve dadmo.
<br /> undo WMYM p lay.Mal l wW Pao uy bdon W by Im pa+sy+.0nncra aparl.o oaaPr.m vl are aaapody xflere under r ,veer of swnOry.That l was pe Illy Ik.T.d by lk rawer,onnei s a ..a aaupanla Ol ln�PrOpeey•M1nrr
<br /> Wawake wan hxe+vedn are prsmdksn�.ledpe-Ind mh veleta mnalrn amy resldemlare�pyp.atl'�w.a''m a.a Itz w asw was rereiredrs narepnsorA hwd.dpa.fhal mis waste rmralnc only ravdemizlsmnapor g�eavr wnme
<br /> ea:'s de Bpm Pa ni.a nA ha:aNbrrs and tloay IN i4.ed pmriwdy.udmix00 lmdy M per Pma W.WSwree Casa of a SFooal Penn.,a net alLirpYO.Yld aOn.nY p.Oppd Ppvipusy.sdexaxee tun[.,ae poe VrwsnaCmer.VSwlce
<br /> Canaal req.r.mrM-lobo d.lin,urdm peNllydpsJuy,that lib Vr.alsl usedW aensPQl ltir.aolewoel�dep CaulrolrWwarrranta.tuba Wdara.r.ldu pendy dper�ury,deal ma vucYls)uwdlp Ymaeart tutu waat¢was hen of an
<br /> maNdaY La.asaergad by lna aa.hPTprdaaewad.p Blblan[e a[Vie Lme of sal.use.Ham aa2m dVra a.diams matenab cha rd..1 ib io Nt ab a.d.o.wasF.M..I ncea[Neel Caul.tale Hem Iy orin�WAlripi¢
<br /> and req (wi d Vr hYede IT.I.r Tamil Farpr.r, wd wn mat hrury ro G,N'y,mny vw ahae aM roquJMrrb d rive Yyute t myHft P.N'a4 FatPM, .+wOrasaM Nat tdrxe b aanlately'd.x be as above
<br /> iMomwtimwfdNaegCplryy wiT my velour WNh Pmrlla arldrd any appurX0105AYJCF ragO,etian,may rea�al me inlu'nutenaldlPa to mtWlY dP nil Weele lledm PermbmMra airy appGp.dp SR1YCF reardehm,maY reeea'n Np
<br /> inmmdialc vAp ann clmyW®se Hauler Permaalyd(FORer p.rylma as may deal x eylax. mvneCia[e.wspnum or my WN/N�MauYfPom.l arAMIOPMI I%'aElppy e4 metre dM
<br /> wnv Date I- la• Z_� Pq Tiro dl disraarpe er SR-, Dung Data olmd,ar .GRWCF.
<br /> wart Hwl.r�nebve J&nyi/ '- ���sY waata rlewar synewra f-/l/�'! I �>r�r_S
<br /> a0aa(',FFm a.q aun_uan-r]]a.+ Rnvm ena.'rs al%m-JtwnsElCfM.IAMIII!_LOnnrA661r Iy.y14yryrp
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