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. "r a TRACTOR,SERVICE, <br /> Norr-HAZARDOUS MANLF'EST - <br /> :. ...� 7., : _ .. �._ � . �� SAME <br /> s NOR CAL BEVERAGE . <br /> GENERATOR'-NAMEGENERATING LOCATION <br /> ADDRESS 1080'E. FREHONT w - <br /> 5 <br /> .CTTY, STATE & ZIP, STOCKTON,CA. 95205 PHONE It <br /> CONTAINERS: .NO. . 1 VOLUME WEIGHT <br /> t TYPE: - TANK TRUCK DUMP TRUCK , .DRUMS OTHER: r <br /> SOIL ��- ,- : TANK REM{1VAL . <br /> WASTE DESCRIP'T'ION: ERATING;PROCESS ^- ; <br /> OG <br /> DF N OF WASTE QUANTITY. . r r ,r ..TYPE_ <br /> 2. <br /> i PROPERTIES:, PHSOLID LIQUID -.SLUDGE SLURRY OTHER <br /> 1 . w - <br /> t HANDLING INSTRUCTIONS: <br /> THE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 100%NON-HAZARDOUS AS I <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 Name and pigpatUre• Date r <br /> PLACER TRACTOR SERVICE <br /> NAME TRUCK #"„ <br /> R. x P-0:•BOA; 1711 - $ _. <br /> ADDRESS . . DRIVER NAME <br /> . . i L00MiS,CA-95650 <br /> CITY, STATE &ZIP y SERVICE ORDER <br /> -PHONE ` 916-652-5535 <br /> Typed or Prin ed Full Naeean ignature ' Date <br /> HULSEY LANDFILL 916-383-2122 <br /> DISPOSAL FACILITY ,, PHONE # -' <br /> 8597 JACKSON "D <br /> 2 ADDRESS I OSAL METHOD <br /> SACRAMENTO CA.—95826 * _ <br /> -CITY. STATE.&ZIP m LANDFILL ^OTHER: <br /> w <br /> q Typed or.Printed Full Name and Signature . .fix Date <br /> t DISCRE PANCY: <br /> ' .y �� i� .`.x',;+swy�. . ,.�:r-.+r-.r,^-.:.w,+ds.a,r .•'.-"=-9r'wr.-wa<-a-,� :.y,.,,«.r_. -.�.a .:+xw-�wr...,..- w�r ..ra ter....,..:. .-- t .vy-.w. <br />