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PLAR TRACTOR SERVICE ,. <br /> NoN-HnzARmus htum'EST <br /> GENERATOR NAME _¢1QR CAL,$„ ERAGE GENERATING LOCATION s <br /> ADDRESS I OR 0 F EREMUT. _ . p <br /> CITY, STATE & ZIP_ BRUT ., A. 952 _ PHONE # <br /> CONTAINERS: NO. VOLUME - <br /> WEIGHT j <br /> TYPE: TANK TRUCK DUMP TRUCK DRUMS `" OTHER r , <br /> WASTE DESCRIPTION: PET.CONT.SOIL GENERATING PROCESS <br /> DESCRIPTION.OF WASTE QLJANTIIY TYPE . <br /> D z <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 G <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 GFWIONS, <br /> Typed or Printed Full a and Signature Date <br /> NAME PLACER TRACTOR.SERYICE "TRUCK # <br /> ADDRESS P.O. BOX 170 . .. DRIVER NAMESKEW { } <br /> CITY.,STATE & ZIP1-.00tJ15 CA 'SERVICE ORDER # <br /> y PHONE - <br /> y �fj JJ. <br /> Typed or Printed Full Name and Signature' Date <br /> ' DISPOSAL FACILITY ...HULSEY LANDFILLPHONE. . # 916-383-2122 <br /> ADDRESS 8597 JACKSON ROAD s _ �" <br /> DISPOSAI;'METHOD��'^'°''- - <br /> CITY, STATE &ZIP 4 LANDFILL OTHER e-. <br /> i <br /> aTyped or Printed Full Name and Signature Date <br /> DISCREPANCY: <br />