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} <br /> LACER TRACTOR SERVICE <br /> NoN-HAzARnous MANwEBT <br /> GENERATOR NAME NOR CAL BEVERAGE,,. <br /> "GENERATIN6 LOCAT7QN SAME <br /> ADDRESS 1080 E. FRE 01-IT <br /> CITY, STATE & ZIP__. STOCKTTON 9sm-5 PHONE # _ z <br /> CONTAINERS: NO. VOLU . WEIGHT <br /> I <br /> TYPE: TANK TRUCK DUMP TRUCK DRUMS OTHER 1 <br /> WASTE DESCRIPTION: SOIL <br /> GENERATING PROCESS TANK REMOVAL <br /> O ' DESCRI N OF WASTE QUmy TYPE <br /> �. X . <br /> rL <br /> w a. <br /> PROPERTIES: PH (SOLI: LIQUID SLUDGE SLURRY OTHER <br /> HANDLING-INSTRUCTIONS: <br /> If. <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 REGULATIO S. <br /> q , <br /> Typed or Printed Full Vame and Signature Date., i. <br /> NAME PLACER TRACTOR SERVICE •TRUCK # 7. <br /> a <br /> P.O. I= 1 To <br /> - ADDRESS n// <br /> < 'DRIVER NAME ' dLiPi/ �, .-- <br /> 4 <br /> RCITY, STATE& ZIP LOOMIS,CA. 95650 SERVICE ORDER # / <br /> PHONE 916-652-5535 � <br /> Typed or Printed Full Name an-d-9 re Date <br /> } <br /> DISPOSAL FACILITYPHONE # <br /> 1 <br /> ADDRESS D SAL METHOD <br /> z , "'.. <br /> 0 <br /> CITY, STATE & ZIT' LANDFILL OTHER <br /> WRAMENIU,UA. 95826. <br /> Q Typed or Printed Full Name and Signature Date <br /> DISCREPANCY.. - <br />