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�_i ACER TRACTOR SERVICE,,,,�— <br /> NONHAZARDOUS MANI'F'EST, <br /> GENERATOR'NAME !/L/O t . L'. l GENERATING LOCATION <br /> ADDRESS <br /> ^Cr1Y. STATE & ZIP ,2+cr,('_f e U s PHONE# c _�7 VJ <br /> w. CONTAINERS: NO. --^ VOLUME WEIGHT i • s <br /> fi <br /> TYPE:, TANK TRUCK DUMP TRU , 'DRUMS OTHER ' <br /> TE DESCRIPTION: /?l GENERATING PROCESS <br /> WAS ✓` <br /> DESCRIPTION OF WASTE QUANTITY, 'TYPE ; <br /> jql 4/ <br /> 2. <br /> PROPERTIES:. . PH - SOLLT LIQUID SLUDGE SLURRY OTHER <br /> { HANDLING INSTRUCTIONS: " a <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 PROPER CONDITION FOR TRANSPORTA <br /> TION'ACCORDING TO APPLICABLE REG. T t?NS�, ' <br /> Jf7 .I <br /> { ."e I <br /> F. -Typed or Printed Full Narrled Signature.77 <br /> f. Date <br /> s NAME /1C{TRUCK # / <br /> a ADDRESS 0 .�6 X f 7 d d DRIVER NAMEnj <br /> RCITY, SPATE &JZiP /60M�,5 (W SERVICE ORDER # <br /> PHONE <br /> - Typed or Printed.Full Name and Signature:�,. ` , " '- Date <br /> ' <br /> DISPOSAL FACILI IY PHONE# <br /> Z �, ADDRESS ��S 7 7 �I�`c 1c Sd?/ ��✓� DIS SAL METHOD <br /> 01. <br /> d CITY. STATE & ZIP f. ' C�J �'��� LANDFI OTHER <br /> Z . - <br /> q Typed or Printed Full Narne.and Signature" :a Date <br /> DISCREPANCY: <br />