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5i'9391-'22 ERI Provider: CleanEarth 4987647 <br /> Please pnn!or type Form designed for use on elite 112-pi!cni!. Pe'xrlter <br /> NONHAZARDOUS Genera!nr ID r�,"e' r ,., .qec; ,w=; <br /> �4—Nwte Tracking Number - <br /> WASTE MANIFEST CAR000087155 1 (80U) 451-834 5 7 `� 3 " <br /> i ;P—av's rdane a-(,ma 1^.rcS' >PnV'gl 8 A_;^ <br /> Ll— <br /> Hone Depot C/o PSC Attn. Nae Depot CSR !!ae Depot 1122 r+Yr <br /> o' 5250 Triangle Parkvay, Suite 2 ID Sill FEATHER RIVER DR <br /> [� Gereratorsonore PERCFTTREE CORNERS 6A 11192 (219)174-1215 STOMION CA 15219 <br /> VVV 6 '-anW.r, ompanv Nance _ <br /> CLEAN EARTH SPECIALTY WASTE SOLUTIONS <br /> F LMslGratf:++7 Facility Name and Sap Address <br /> Clean Earth SPeclatty Raste Solutions - Rancho <br /> 3319 Fitzgerald Road <br /> Rancho Cordova CA 95712 (911) 225-1121 CA 004 78 <br /> Sfe ' - &-n:I � ....,. ?'•:w'Sh.,r.y?F�ie tirtd'-' :,.yz ,. - -_ --- - <br /> HON-HAIARDOUS, NON-DOT RE6ULRTE1 MTERIRt. (PRESSURE TREATED <br /> 0 ROOD) TREATED V601 WASTE - Do Not tarn or Scavenge I C11 1 0 Y <br /> u� <br /> z - <br /> u, <br /> c� <br /> 1 <br /> (1) HOMFPTW-00 PRESSURE: TRFATED Yo0 <br /> GENERATOR'S CERTIFICATION Ins.' <br /> ,-_,a r;als,)ec-rhw ap:;e;r r s .a 4r a,.. .ca, ,. .,.:..r.. _._ , _ •.- „ '-n:. I <br /> t;Ftre-o�0"er_*s P�^r}?ti,E(:Va^re ._ •".' . <br /> r <br /> � 's !nternaUona pmerls �-1 , -- <br /> — :9i�.J'.P.'>:�rar.'F.'„Ftr'n.,ry_ i.;'r I+•f.t^ _V- 7 <br /> LU <br /> Ll.' :anC[M)r'Vt al'lwY'.N.:I�^:V": hY,.YI✓:: �'Fea,�a„ <br /> O I ... <br /> I /1j � I�2 <br /> t— I I I I <br /> t <br /> ,,A,.v <br /> } YA 'S'^:Pfe'en.e Nur-ter <br /> F '7h Aitemare FN,ir?-, ,ar.rewl, <br /> Ull FPS r <br /> lei :arms'S'�6ne I I <br /> 4L=1 sla r.v,e e`alte a:P eau. <br /> z <br /> 0 <br /> U.11 <br /> 0 <br /> 1-DESIGNATFD FACILITY T7 <br />