Laserfiche WebLink
PLACER TRACTOR SERVICE a U <br /> '__NoN-HAiARD&Us MANIFEST, <br /> ..., _ R CL+BEVIRAGE�"".. . ._ SAME <br /> GENERATOR_ NAME GENERATING LOCATION <br /> ADDRESS 1080 E. FREHOOT Y <br /> 1 CPTIT, STATE& ZIP_ ST .KTIIFI,CA_ 2GS PHONE # <br /> CONTAINERS: NO. a, VOLUME WEIGHT i <br /> TYPE: TANK TRUCK. - C..DU�MPTR3U�CK , . DRUMS . . OTHER <br /> Lo J <br /> SOI LNK REMOVAL <br /> WASTE DESCRIPTION: <br /> : GENERATING PROCES <br /> w DESCRI NOF WASTE. QUAr,= TYPE <br /> W . r y.. . { <br /> PROPERTIES: PH SOLID„ LIQUID SLUDGE SLURRY . -OTHER. <br /> i HANDLING INSTRUCTIONS: x J <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 /> =fez. <br /> ` DESCRIBED, CLASSIFIED AND PACKAGED AND IS IN PROPER CONDITION FOR TRANSPORTA- <br /> TION <br /> RANSPORTATION ACCORDING TO APPLICABLE REGULATIONS. i f <br /> JA <br /> =Typed or Printed Full Narig and Signature Date, <br /> PLACER TRACTOR SERVICE <br /> NAME . n n nnv in - ----- TRUCK # <br /> DRIVER NAMErfis'CA. 95650 <br /> r✓�s !) ; <br /> R CITY; STATE & ZIP SERVICE ORDER # / <br /> -i_ Typed or Printed Full:Name and gnatureDate: 1 <br /> ' y., +F..8+'-` J. �.x. :^h. + .. "�. .,.p, lYIF ..� v - -. ar w ,.! - —.�►+r- ,z i5, <br /> uH.ULSEY LANDFILL 916-383-2122 . <br /> { DISPOSAL FACILITY � 36H ROAD T PHONE # <br /> ADDRESS J $ 'DISPOSAL METHOD r # <br /> CrIY, STATE &ZIP _ LANDFILL _ OTHER.-, <br /> Qt Y <br /> —Typed or Printed-Full-Name and Signature .. - Date-- <br /> . � x ..., � �.w.. ` . . . ,►� �. - ` :. • . '- <br /> DISCREPANCY: <br /> I, L <br />