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w r <br /> �,.l,ACER TRACTOR-SERVICE " <br /> NoN-HezARpotrS MAMFEST <br /> GENERATOR NAME NOR CAL BEVERAGE GENERATING LOCATION <br /> ADDRESS x 1080 E. FREIIONT ' <br /> CITY, STATE & ZIP_ ST f'kTf1F: fd 9sms - PHONE:# 209-943-0381 } <br /> CONTAINERS: NO. VOLUME WEIGHT <br /> :. .,. <br /> TYPE: _ TANK TRUCK t ` - DUMP TRUC ,- DRUMS. OTHER # <br /> PET.-CONT. <br /> ' WASTE DESCRIPTION: i.. GENERATING PROCESS <br /> DESCRIPTION OF WASTE QUANTITY TYPE0 - <br /> I. i2 <br /> 2. <br /> PROPERTIES: PH SOLID LIQUID SLUDGE SLURRY. OTHER # <br /> HANDLING INSTRUCTIONS: <br /> THE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 100%NON-HAZARDOUS AS #, <br /> z DEFINED BY,40 CFR PART 261 OR ANY APPLICABLE STATE LAW, AND HAS BEEN PROPERLY <br /> z DESCRIBED.k CLASSIFIED AND PACKAGED AND IS IN PROPER CONDITION FOR TRANSPORTA- <br /> TION <br /> RANSPORTATION ACCORDING TO APPLICABLE REGULATIONS. F <br /> „Typed or Printed-Full NaArid Signature Date I <br /> PLACER TRACTOR SERVICE 12 _ <br /> NAME TRUCK #- f <br /> ADDRESS -4 P.O. BOX 170 ;1 *+ A' DRIVER NAME t5'4/2�!k:�' <br /> CITY, STATE-& ZIP LOOMiS,CAIt . . 95650 ' ` 'PERVICE ORDER <br /> PHONEY 916-652-5535 <br /> ° Typed or Printed Full Name Signature Dafe 4 <br /> HULSEY LANDFILL 916-383-2122 <br /> DISPOSAL FACILITY _ .. PHONE # <br /> V ADDRESS Y 8597 JACKSON ROAD POSAL METHOD <br /> O <br /> CITY, STATE & ZIP SACRAMENTOSA. 95825 LANDFILL. OTHER <br /> -Typed or Printed Full Name and-Signature: Date ; <br /> DISCREPANCY: <br />