Laserfiche WebLink
LACER TRACTOR SERVICE <br /> Y <br /> NoN-HAZARDOUS MAMFEST <br /> NOR CAL BEVERAGE <br /> GENERATOR NAME GENERATING LOCATION <br /> .1.080 E. FREHOUT x <br /> ADDRESS . . . . <br /> CITY, SPATE & ZIP STOCKTON,CA. 95205 209-943-0381 - "+ <br /> . PHONE #' <br /> CONTAINERS: NO. 1 VOL WEIGHT <br /> TYPE: It TANK TRUCK DUMP TRUC <br /> PET.CONTDR S OTHER <br /> . , <br /> WASTE DESCRIPTION: GENERATIN1P10 ESS ° { <br /> O DESCRIPTION OF,WASTE QUAN= 3 TYPE <br /> Edi . '1.. �'"•�"3- � -- 7 �t-?��7 4 � <br /> 2. <br /> t� 7t7td <br /> r ,.. <br /> PROPERTIES:- ' PH , SOLID LIQUID' SLUDGE SLURRY/ OTHER <br /> HANDLING INSTRUCTIONS: <br /> , C <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 <br /> RANSPORTATION ACCORDING TO APPLICABLE REGUTA IONS. <br /> . a - C., ff <br /> X11/ 1.r r <br /> Typed or Printed Full N e and Signature Date } <br /> - <br /> PLACER TRACTOR SERVICE � <br /> NAME' <br /> ADDRESS' ---- DRNER NAME <br /> LOOMIS,CA. 956"b - <br /> t,P <br /> R CITY. STATE & ZIP SERVICE ORDER # <br /> PHONE . ' 916-65275538 <br /> A <br /> ed Printed Full Nam and Signature' Date <br /> HUM LANDFILL rt.. �'. 916-383-2122 - <br /> DISPOSAL FACILITY -1 PHONE # <br /> 8597 JACK ROAD <br /> ADDRESS ' Y` + DI SAL METHOD <br /> p SACRAMENTO,CA. 95525 <br /> CITY, STATE & ZIP LANDFILL s CrI`FIER i <br /> Typed or Printed Full Name and Si -Date <br /> Date <br /> TyP g - <br /> DISCREPANCY: _ <br />