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NON HAZkRDOUS WASTE MANIFEST <br />RECUV,r� <br />UNIFIED GROCERS <br />NAME <br />1990 PICCOLI ROAD <br />STOCKTON CA DEPARTMENT <br />CITY, $'Wrr: 71P <br />2115-93'1-1990 _ <br />EPA NUMBER: <br />LIST COMPONENTS: 0/0 <br />A. DIRT 1 1 <br />B. <br />C. I <br />D. <br />PHYSICAL STATE: <br />WASTE DFSCRIPTION: DIRTY WATER <br />GENERATING PROCESS:CLARIFI.- WATER <br />j MANIFEST NUMBER <br />I <br />QUANTITY <br />E. I I <br />F. 77 <br />G. 77 <br />H. -77 <br />❑ Liquid <br />0 Solid <br />- #w ftr <br />jransINE. <br />If P.O. Box 5129 • San Bernardino, CA 92412 a (909) 889-5607 <br />D.O.H.S. #0115 ■ EPA #CAT 080012800 <br />WATERWORKS <br />10 ROCHESTER AVENUE <br />ICS CUCAMONGA <br />ATE <br />EPA NUMBER: <br />QUANTITY <br />91 <br />,9---z2-1 <br />DATE <br />0 <br />AGENT <br />TRUCK #43—�, <br />P/U DATE:' 7-1. <br />19, <br />X `/ ` W <br />SPECIAL HANDLING <br />OR DISPOSAL METHOD <br />PH, <br />