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' (—)ACER TRACTOR SERVICE <br /> NONHAZARDOUS MANIFEST <br /> 1r0R 1 A1_'BE�f ERL`,GE -� SAME <br /> { GENERATOR NAME . - . GENERATING LOCATION, <br /> ADDRESS 1080 E. f REs ONO <br /> CrTY, STATE & ZIP STfI .K ON CA 95205 PHONE # 209-943-0381 <br /> # CONTAINERS: NO. VOLUME WEIGHT <br /> TYPE: • T TANK TUCK ,'f DUMP TRUCK a -DRUMS OTHER <br /> WASTE DESCRIPTION: . _ GENERATING PROCESS' <br /> 01 L <br /> 0.1DE§CRIPnoN OF WASTE QUANTITY TYPE <br /> vr Vic~ -~ � o <br /> w - .. <br /> »2 <br /> ,PROPERTIES: PH ";SOLID LIQUID SLUDGE , SLURRY OTHER- <br /> HANDLING INSTRUCTIONS: _ <br /> THE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 10001b 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 /> ed or �V ted Full Nam- Sea Date � <br /> �� ' <br /> NAME n6 ti T RACLn a CE TRUCK # F ? f <br /> F `ADDRESS` DRIVER NAME -1' n::3�!r <br /> P.O. B6x To <br /> a - CITY, STATE & ZIP µ SERVICE ORDER # <br /> ti <br /> R PHONE .. , <br /> 1 916-652-5535 t t <br /> Typed or Printed Pi ill Name and 8ignature Datef <br /> S <br /> DISPOSAL FACILrIY HU c PHONE # <br /> 2 ADDRESS SPOSAL METHOD8597 dttK56N ROAD <br /> f ?+ <br /> O' _- <br /> CrrY, sTATE &ZIP LANDFILL OTHER ,- _ <br /> q Typed or Printed Full Name and Signature a Date <br /> # DISCREPANCY: <br />