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ti PLACER TRACTOR SERVICE <br /> NON-HAZARDOUS MANIFEST „ <br /> NOR CAL BEVERAGE <br /> GENERATOR NAME GENERATING LOCATION <br /> ADDRESS 1080 E. FREMONT <br /> CITY, STATE & ZIP STOCKTON,CA. 95205 ". � PHONE .# 209-943-0381 <br /> CONTAINERS: NO. 1 VOLUME ' <br /> WEIGHT <br /> TYPE: -TANK TRUCK DUMP TRUCK DRUMS OTHER <br /> PET.CONT.Sia ._k <br /> WASTE DESCRIPTION: - GENERATING PROCESS <br /> DESCRIPTION OF WASTE QUANTI"IYpE, <br /> f4 2 { <br /> PROPERTIES: PH Y SOLID LIQUID- SLUDGE' SLURRY OTHER <br /> HANDLING INSTRUCTIONS: <br /> 'THE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 100%NON-HAZARDOUS AS <br /> DEFINED BY 40 CFR PART 261 OR ANY APPLICABLE STATE LAW, AND HAS BEEN PROPERLY <br /> DESCRIBED, CLASSIFIED AND PACKAGED AND IS IN PROPER CONDITION FOR TRANSPORTA- <br /> TION ACCORDING TO APPLICABLE REGULATIONS. <br /> Typed or Printed Full N and Signature Date <br /> PLACER TRACTOR SERYICE <br /> NAME jRUCK # <br /> P.O. BW 170 <br /> ADDRESS - ?!DRIVER NAME Cao{ D� SI�t SGS <br /> o LOOMIS CA. 95650 i' { <br /> a. CITY,"STATE & ZIP SERVICE ORDER # <br /> PHONE 916-652-553S f <br /> Typed or Printed Full Name and Signature Date <br /> : r, <br /> HULSEY LANDFILL 915-3832122 = I <br /> DISPOSAL FACILITY PHONE # <br /> 8597 JACKSON ROAD <br /> ADDRESS <br /> Z <br /> DISPOSAL METHOD <br /> O SACRAMENTO CA. 95826 . , ;_`: <br /> CITY, STATE & ZIP 4'LANDFILL ` OTHER <br /> A Typed or Printed Full Name and'Signature _ Date, <br /> DISCREPANCY:,d <br />