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No.- <br /> ` ,0, I V"` <br /> TO BE USED FOR: JON-I AZARDOUS WA. ;F7:; ,;��.T �jzT <br /> GENERATOR: WASTE TO BE DISFOSED: <br /> NAME: PACIFIC GAS & LECTRI_C__CO. TYPE: NC)11 HA: IAF I:°.'U5 SOZI: <br /> ADDRESS: 4040 WEST LANE SITE LOCATION : 4044 WEST I,ANE , STOCKTON CA <br /> CITY,STATE,ZIP: STOCKTON,--CA _95204' SPECIAL HANDLINC, INSTUCTTONS: NO-NE <br /> — <br /> PHONE:_209 2.63-5212 T — -- GLOVES "=OC:GI J,.S OTHl'R -- <br /> EPA ID: CAD981390073 ^— — — <br /> SIGNATURE OF AUTHORIZED AGENT: QUANTITY--- L;BI„ GAT,____-- YDSJ8 TONS — <br /> DISIGNATED F ACIJ,;TY: RELEASE # 126`2 <br /> DATE: — NAME:_G I BSON OIL & REFLLI_Ii I_AiG CO <br /> ADDRESS: CCMIA_F-R(__AL DRIVE <br /> THE GENERATOR CERTIFIES THAT CITY , STATE , ZIP : I'iAKERSFIELD_,. CA 9_3_308 <br /> THE WASTE AS DESCRIBED PHONE:_805j' 327_ G IS <br /> 3- <br /> IS 100% NON—HAZARDOUS EPA ID: CAU95308 .' J77 <br /> TRANSPORTER: TRG % <br /> # 7..�Z�_-= _. ---- UPS I T NO. : <br /> NAME: STAMCO, INC. PICKUP DATE:, _TIi4E: ' �y <br /> ADDRESS : P.O. BOX 150 <br /> CITY,STATE,ZIP: SAN MARTIN , CA 95046 MOTE: THIS F0Ftil IS TO ''iE USED IN LIETJ OF <br /> PHONE: 408/268-1196 THP_ ("'AL3 FORNIA I ;:PARTMFNT OF HEALTH <br /> EPA ID: CAD063547996 SEF:VI{:'E ; HAZARD' T)S WASTE MANIF7,ST <br /> SIGNATURE OF AUTHORIZED AGENT: FOR N011-17AZARDOU WASTE ONLY . <br /> THIS SECTION TO BE COMPLETED BY DISPOSLi FACILI' `r' <br /> DISPOSAL FACILITY: <br /> NAME: W QUANTITY RFC'iFVT. .'t : <br /> ADDRESS : BBLS L)S -- TONS —_-- <br /> "ITY , STATE ,ZIP: <br /> PHONE: --- <br /> DISP . TICKET # <br /> SIGNATURE : _ D I SFOS;,,I, 24E T".Uli : <br /> DATE : SURFT C " <br /> LANDFILL <br /> TIIJEC'T C'I <br /> --- OTiIEr: <br /> RETURN! COP`! E GENERA-MR CR UN'LEE,l GrPECIFiEU <br /> NOTE: IT IS 'k',,OT ' w��:=E—'�. <br /> a. <br />