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PLACER TRACTOR SERVICE 0 <br /> NON-HAZARDOUS MarrzE E6T <br /> NOR CAL BEVERAGE" ' <br /> GENERATOR NAME GENERATING LOCATION.. - <br /> .._.... . I OSO E. FREMONT <br /> ADDRESS - <br /> _ STOCKTON',CA_.95205 209-943-03$4 s <br /> ~Cr Y. STATE & ZIP . . �' PHONE # <br /> CONTAINERS: NO. 1A Fw VOLUME WEIGHT i <br /> TYPE: TANKTRUCK -.DUMP,TRUCK DRUMS OTHER <br /> r <br /> PET.CONT. <br /> WASTE DESCRIPTION: GENERATING PROCESS . ' I <br /> YDESCRI N 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-MZARDOUS AS <br /> i 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 REG TIONSn , e <br /> Typed or Printed Full Nafyc and Signature Date <br /> PLACER TRACTOR SERVICE -�rRY <br /> f NAME TRUCK # <br /> x P.O. BOX-170 <br /> ADDRESS DRIVER NAME R ' <br /> LOOMIS CA. 95650 <br /> a CITY, STAI <br /> TE &ZP SERVICE ORDER # <br /> PHONE 916-652.5535 <br /> Typed or Printed Full Name and S!gnature Date <br /> :HULSEY LANDFILL 916-383-2 f 22 <br /> DISPOSAL FACILITY*i - " PHONE # ; <br /> 8597 JACKSON ROAD v - <br /> Z ADDRESS . .- DISPOSAL METHOD <br /> o. - SACRAMENTO,CA- 95826 _ <br /> • 2 CrfY;',STATE & ZIP y^ LANDFILL OTHER.;. <br /> z. <br /> . .. <br /> q --Typed.or Printed•Full Name and Signature h Date , <br /> ' DISCREPANCY: } <br />