Laserfiche WebLink
NON -HAZARDOUS <br />. 40 <br />WASTE DATA FORM <br />, 56527 <br />Aftntlest 4o, QW2 <br />42.W RECEIVING SITE SENDS TO GENERATOR <br />SHEFLL PfPEt3WE CONFAW LIP <br />NAME <br />P. 0. BOX 2648 <br />ADDRESS <br />HIMISTON, TX 73252 - <br />CITY, STATE, Zip <br />PHONE NO. '71 t) $t- 50'V� <br />0 <br />CONTAINERS: No. I <br />VOLUME WEIGHT Prandg <br />UJI <br />Z <br />TANK DUMP <br />TYPE: E) TRUCK CITRUCK <br />19 DRUMS 0 CARTONS El OTHER <br />UJI <br />0 <br />WASTE DESCRIPTION A.&SORBEWM, <br />W6'F'F4 RFr) OW GENERATING PROCESS <br />COMPONENTS OF WASTE <br />PPM % COMPONENTS OF WASTE PPM % <br />UJI <br />Lu <br />'ED AAS-rE 1A, <br />D'SPO-SAJ_ TPEATME AS PXCrfl, FZ <br />AOR <br />Jr-kmrrs N"r OR REV HANDLED <br />_j <br />2. <br />Sp - <br />�4:ml "jE _ AND vr­_ <br />-14< r". 51 <br />---�rOMENT <br />IL <br />liteitF LIE T'-, I'vc F sf-vu-PN <br />souitcE 14L pR.0,rEM"j. PAR F".-y'-wroxic's Tt'7 nl,�' FAC -4 .1 rT [)P�3 IT, <br />ftERA.L CDNSERVA77O)y N Auf`w� 1 <br />0 <br />3. <br />_'jv <br />AND ST ANI�jtEr,,,L-... N A uA'!q lz <br />PFRLSMq To CCORD Cu.vrml --- <br />GVLAT70NS — <br />�C�Ae <br />CR �k I "'JH fl is, <br />REFZ ci� 0say r OF .'976 'r6 GE31ER IE PRO is, <br />wAS & OV RA %vt.17, v <br />S <br />UJI <br />4. <br />Ant) ALL OF 11,2 ICARLe <br />ca <br />NANDL&D <br />0 <br />PROPERTIES: pH El SOLID <br />1:1 LIQUID 1:1 SLUDGE 0 SLURRY ER OTHER 30LET) <br />HANDLING INSTRUCTIONS: 24 �+YJR WERGEt", PFKWIE NUMBER dPM)A244MO <br />F60J. <br />371)c: <br />3',15 <br />c7k 95201 <br />TYPED OR PRINTED FULL NAME & SIGNATURE DlkfE j <br />NAME <br />uj <br />1( W STAdWT ROAD <br />0 <br />ADDRESS <br />SERVICE ORDER NO. <br />CL <br />(j) <br />WAYI)DWILLE <br />CITY, STATE, ZIP <br />CA. 91C076 <br />PICK UPDATE <br />Z <br />PHONE NO. 4 409) 2104666 <br />TRUCK, UNIT, I.D. NO. <br />TYPED OR PRINTED FULL NAME &SIGNATUREDATE <br />NAME <br />ISO W. I rm IRT TT <br />DISPOSAL METHOD <br />ADDRESS <br />P"LANDFILL E) OTHER <br />110193 RRhCH <br />CITY, STATE, ZIP <br />Ot L tZ <br />LL <br />PHONE NO. 562) 432-5445 <br />I 1 <br />co <br />-7 <br />'—TYPED OR PRINTED FULL NAME & SIGNATURd DATE <br />GEN OLD/ EW <br />L A TONS <br />TRANS <br />s B <br />I <br />C/o RT/CD HWDF NONE DISCREPANCY <br />Aftntlest 4o, QW2 <br />42.W RECEIVING SITE SENDS TO GENERATOR <br />