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rt: <br /> LACER TRACTOR SERVICE" " <br /> NONHAZARDOUS MANIF'FST } , <br /> NOR CAL BEVERAGE.'... i <br /> GENERATOR NAME ` ` —`GENERATING LOCATION SAME } , <br /> ADDRESS 1080 E. FREMONT " <br /> CITY. STATE & ZIP STOCKTON,CA, 95205 PHONE # 209-943-0381 <br /> I t <br /> CONTAINERS: NO. 1 VOLUME WEIGHT <br /> TYPE: TANK TRUCK DUMP TRUCK DRUMS OTHER <br /> TANK REMOVAL <br /> WASTE DESCRIPTION: <br /> SOIL <br /> PROCESS - <br /> O� DESC PTION YP <br /> OF WASTE QUANTITY TE' <br /> W 2. <br /> PROPERTIES: PH SOLID LIQUID SLUDGESLURRY OTHER i <br /> a - <br /> HANDLING INSTRUCTIONS: J i <br /> THE GENERATOR CERTIFIES THAT THE WASTE AS DESCRIBED IS 100% 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 P OPER CONDITION FOR TRANSPORTA- <br /> TION <br /> RANSPORTATION ACCORDING TO APPLICABLE REG T NS. �. <br /> Typed or Printed Full N and Signature Date <br /> PLACER TRACTOR SERVICE <br /> 1 - + i <br /> NAME µ - TRUCK # _l <br /> x P.O. BOX 170 x- <br /> ADDRESS DRIVER NAME <br /> O LOOMIS CA. 95650 <br /> U) CITY, STATE & ZIP SERVICE ORDER # " <br /> PHONE 916-652-5535 k <br /> Typed or Printed Full Name and Si Lure Date <br /> • n , <br /> -DISPOSAL FACILPIYHUI_SEY LANDFILL PHONE # _�Lb-383-2122 <br /> z ADDRESS 8597 JACKSON-ROAD POSAL METHOD <br /> O <br /> CITY, STATE & ZIP_ � �a a�rn+-ra 95826--L LANDFILL OTHER <br /> z <br /> Typed or Printed Full Name and Signature:: <br /> . Typ gn Date <br /> DISCREPANCY: <br />