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TO BE USED FOR: NON-HAZARDOUS WASTE- N(')._.,11 �D i <br /> -"IENERATOR: WAS'T'E TO BE 11I SP' SEI) : <br /> NAME: PACIFIC GAS & ELECTRIC CO, TYPE:_NON_HAZARD(.,'Il_S SOIL. <br /> 4040 WEST LANE SITE LOCATION : 4090_WE_ST- LANE tSTOCKTON CA <br /> CITY, STATE, ZIP: STOCKTON ,,_CA 952.04 SPECIAL HANDLING 1NSTUCTIONS: NONE <br /> PHONE:_ 2091263-5212 GLOVES TGt)GGL,;;S_OTHER <br /> EPA ID: CAD981390073 <br /> SIGNATURE OF AUTHORIZED AGENT: QUANTITY BBL.-_ 0.AI <br /> YDS / _- TON;, <br /> DISIGNATED FACII,.ITY : RELEASE #--1-2-622 <br /> DATE. - - NAME :-GI$SON .OIL._ &_ REFINING CO ._, I_NC , <br /> ADDRESS : COMMERCIAL DRIV17 <br /> THE GENERATOR CERTIFIES THAT CITY, STATE, ZIP:__T'AI: <br /> KERSFILL),_ CA_ 9330_8_ <br /> THE WASTE AS DESCRIBED PHONE: 805/327-0,113 <br /> IS 100% NON-HAZARDOUS EPA ID'.- CAD-9908-831.77 <br /> TRANSPORTER: TAC# : � , _ UNIT NO. : � lG <br /> NAME., STAMCO, INC. PICKUP DATE :�� �S -_�1 TIME: 0 <br /> ADDRESS: P. O. BOX 150 <br /> CITY, STATE,ZIP: SAN MARTIN, -,CA 95046 NOTE: THIS FOF"9 IS TO BE USED TFv LIE'r <br /> S: OF <br /> PHONE : 408/268-1196 ti THE CALIFORNIA Y- PARTMENT OF Hi:ALT1; <br /> EPA ID : CAD063547996 SERCVTCES HAZARDOUS WASTE MANIFEST <br /> SIGNATURE OF AUTHORIZED AGENT: FOR NON-HAZARDOUS WASTE ONLY. <br /> Lq0 <br /> !� <br /> DATE: I Icy e- _ <br /> k <br /> THIS SECTION TO BE COMPLETED BY DISPOSAL FACILITY _ ^� <br /> DISPOSAL FACILITY : <br /> ;SAME: QUANTITY RECIEVk ':__ _ <br /> '=KESS : _ BBLS GF:I, . -YDS TONS <br /> TTY , STATE,ZIP : <br /> RHONE: I'T_.4E '�� --- <br /> DISP. TICKET #SIGNATURE: I?ISPOSAL METHOD: <br /> i <br /> ATE: - SURFAC IM POUNUME11"I" <br /> — LANDFI?.,L <br /> INJECTION <br /> T OTHER <br /> RETURN COPY TG: GENERATOR' l��l�.ES C-)7" "Fy''�'ilIS SPEC.IFIE1) <br /> NOTE: IT IS i`v IT TC; !3'-; <br /> iK <br />