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PLACER TRACTOR SERVICE ' <br /> NON-ELv.,m us MAwLsT <br /> GENERATOR NAME NOR CAL BEVERAGE GENERATING LOCATION <br /> ADDRESS 1030 E. FREI"IQPJT <br /> CITY, STATE & ZIP STOrKrnm rA 952Q5 b :.PHONE # 209-943-0381 <br /> CONTAINERS: NO. VOLUME WEIGHT <br /> TYPE: TANK TRUCK UMP TRUC DRUMS OTHER f <br /> WASTE DESCRIPTION: -PET,CONT.SOIL GENERATING PROCESS ' <br /> DES C ON OF WASTE QUANTITY TYPE ., <br /> w <br /> W 2• <br /> F <br /> 'PROPERTIES: PH SOLI LIQUID SLUDGE SLURRY . OTHER I <br /> HANDLING INSTRUCTIONS: <br /> THE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 1000/b 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 ACCORDING TO APPLICABLE REGULATIONS. ' <br /> Typed or Printed Full Ndne and Signature Date <br /> NAME = PLACER TRACTOR SERYICE <br /> TRUCK # <br /> yy <br /> ' ADDRESS P.Q. BM 170 DRIVER NAME <br /> R CITY. STATE & ZIP LOOMIS,CA. 95650 ER <br /> � S VICE ORDER # _ f <br /> PHONE 916-652—SS35 <br /> s <br /> W/ <br /> ed or Printed Full-Name art igna re Date <br /> DISPosAL FACILrrY HULSEY LANDFILL -PHONE # 916-383-2122- ' � a E <br /> f x <br /> $597 JACKSON ROAD <br /> Z ADDRESS DISPOSAL METHOD <br /> O SACRAMENTO,CA. 95826 - OTHER <br /> QTyped or Printed Full Name and Signature ". " Date <br /> DISCREPANCY: ...f <br /> %w i. <br />