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LACER TRACTOR SERVICE r <br /> NON-HAZARD WS ALVinrEST <br /> GENERATOR NAME NOR CAL BEVERAGE GENERATING LOCATION- <br /> ADDRESS1080 E. FREMONT _ <br /> CITY,.STATE & ZIP .,9 f1I`1,'Tff;V CA 95205..--y . PHONE'# 209-943-0381 <br /> CONTAINERS: NO. . VOLUME WEIGHT <br /> TYPE: TANK,TRUCK. DUMP TRUCK DRUMS OTHER <br /> PET.CONT.SOIL'= <br /> WASTE DESCRIPTION:'— - GENERATING PROCESS <br /> o DESCRIP'ITON OF WASTE a. QUANTITY -TYPE <br /> T ` <br /> 2. <br /> PROPERTIES: PH. .. SOLID LIQUID SLUDGE SLURRY , OTHER <br /> 1 HANDLING'INSTRUCTIONS: - <br /> THE GENERATOR.CERTIFIES THAT THE.WASTE'AS DESCRIBED IS 100°x6 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 TRA_NSPORTA- <br /> TION ACCORDING TO APPLICABLE REGULATIONS. w <br /> Typed or Printed Full Name d Signature _ Date' <br /> PLACER TRACTOR SERVICE TRUCK # <br /> NAME . b ... <br /> R ADDRESS - P.O. ODX'170 DRIVER NAME -3aRt)00 ' �.kefC-�-5 � <br /> CITY, STATE &ZIP LOOMIS,CA. 95650 ' SERVICE ORDER# <br /> 'PHONEd916-652-5535 <br /> 4&a2(� -7 <br /> -Typed or Printed.Full Name and Signature „ Date {. { <br /> HIRSEY-LANDI:I LL 916-383.12122 f` <br /> DISPOSAL FACILITY PHONE # <br /> ADDRESS $597,JACKSON ROAD , • DISPOSAL METHOD <br /> O _ ., µ� <br /> CITY, STATE &ZIP SACRAMENTO,C 95826 LANDFILL OTHER , <br /> z <br /> A Typed or Printed Full Name and Signature a Date - <br /> DISCREPANCY: _ <br /> - <br /> .. _ _ . .., .r .. ._.. , . . __,....,...< ., �:.;stir-•�_ - .. , • <br />