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NON HAZARDOUS 'WASTE -MANIFEST <br />PPCEIVED <br />UNIFIED GROCERS 72534-1----. __--�g-�Ot� <br />NAME - ..... _ .. .. ...... <br />MANIFEST NUMsER <br />1990 PICCOLI ROAD <br />5TQCK10.N CA. <br />CITY, STATE - <br />�Q9��39-199Q <br />PHONE - -- -- <br />EPA NUMBER: <br />LIST COMPONENTS: <br />m A. _ DIRT... <br />Z <br />M B. _.—WATER .._ <br />0 <br />=7 D. – - <br />ENVIRONMENT <br />DEPA TR MENT:_ �_� <br />ZIP DATE <br />1... .._J F. — <br />_. G. -- <br />H. <br />PHYSICAL STATE: <br />WASTE DESCRIPTION: DIRTYWATER <br />GENERATING PROCESS: CLARIFIER WATER <br />SPECIAL INFORMATION: <br />THE GENERATOR CERTIFIES THF <br />THE WASTE AS DESCRIF3F_D IS 100' <br />NON -HAZARDOUS. <br />I�1 Liquid <br />QUANTITY <br />I-1 Solid <br />TRUCK # <br />z <br />0 7. <br />V P/U DATE: <br />0 /" cinsINC. <br />230 E. pumas Street ■ San Bernardino, CA 92408 ■ (909) S89 -S607 I E # <br />MD.O.H,S, #01 15 ■ EPA #CAT 080012800I� ( ) <br />K -PADRE WATERWORKS <br />NAME — Co 8910 ROCHESTER AVENUE <br />0 ADDRESS ..._._ _..._. .- --- <br />A . RAN.G)=IO —UC,A11 ONGA <br />0 CITY, STATE <br />■ PHONE <br />EPA NUMBER: <br />QUANTITY <br />X <br />ZIP <br />SPECIAL HANDLING <br />OR DISPOSAL METHOD <br />1� <br />