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r <br /> j <br /> R :ICER TRACTOR SERVICE. <br /> NoN-I AzARDous AlAmFEsr <br /> MR CAI:BEVER GE <br /> GENERATOR NAME GENERATING LOCATION <br /> ADDRESS r ` 1080 E. FREMONT <br /> v lk(j MENTAL HEALTH i <br /> STOCKTON,CA. 95205- -� -209-943-0381 PenM71SERVICES <br /> CITY, STATE &ZIP PHONE # j <br /> ~ CONTAINERS: NO. 1 VOLUME WEIGHT <br /> TYPE: TANK TRUCK DUMP.TRUCK DRUMS OTHER j <br /> PES'.CONT.SOIL_ <br /> � " w <br /> WASTE DESCRIPTION: GENERATING PROCESS - <br /> DESCRIPTION OF WASTE QUANTITY TYPE:, , <br /> PROPERTIES: PH 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: .. l <br /> Typed or Printed Full Name and Signature # , Date 1-/ <br /> w <br /> }PLACES TRACTOR SERVICE"-':' .'] Y 1. <br /> NAME TRUCK #+ <br /> x P.O. <br /> I= 170 <br /> ADDRESS DRIVER NAME 'Ga�GYJr�S,reC S _ <br /> LOOMIS,CA.'95650 <br /> R <br /> . CITY, STATE &.ZIP SERVICE ORDER # <br /> PHONE 916-652-5535 . -_ - <br /> Typed or Printed Full Name and Signature ;; - � -K, Date <br /> fI <br /> HULSEY LANDFILL. : ' : ';..:.., 915-383-2122 :. <br /> DISPOSAL FACILITY PHONE# ' <br /> 8597 JACKSON ROAD <br /> z 'ADDRESS r =DISPOSAL METHOD <br /> .O SACRAMENTO,CA: 95826 LANDFILL OTHER . <br /> CrIY, STATE & ZIP. <br /> Typed or Printed Full Name-and Signature Date - <br /> wDISCREPANCY: qg <br /> -- <br />