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,l A*11;911, k <br /> II <br /> $ I <br /> NON-HAZARDOUS WASTE DATA FORM <br /> - I <br /> T:. •NAME SOLTTHLARD CC-'T <br /> EPA <br /> ADDRESS P01�7 0117PCL S RDO r c1 .11 ri ri 1 1 rrl, <br /> OTY.STATE.21P PL''Y c •,r`.C(;♦ CELT ,],;. o c c c <br /> PHONE NO (L 5.. .1 <br /> 0 CONTAINERS:No VOLUME `� Ids WEIGHT <br /> Q <br /> TANK DUMP <br /> Q <br /> Z TYPE: 1:1TRUCK [3 TRUCK ❑ DRUMS ❑ CARTONS ❑ OTHER <br /> W <br /> Q <br /> WASTE DESCRIPTION aAgr,CT,7NCOL'1'PJO NATLD $l T:, GENERATING PROCESS `NX Lr?:Y <br /> Y <br /> m COMPONENTS OF WASTE IPM • COMPONENTS OF WASTE PPM % <br /> 0 v•p.- <br /> W t :n 270 y )"rllyi z.;.n.Z." F. 72 <br /> ,Wj : 3:,"LFPTI ,,:. E rCL <br /> vr 4� <br /> 0 T <br /> 7 'CC•}1rf?c L <br /> V <br /> m A. B <br /> OPROPERTIES: PH r=' ❑SOLID ❑ LIOUID ❑ SLUDGE ❑ SLURRY ❑ OTHER Ipnj <br /> HANDLING INSTUCTIONS. / I■ <br /> THE GENERATOR CERTIFIES THAT - <br /> THE WASTE O DESCRIBED IS t00% �• , _�^ n` '_ - ^ <br /> NONHAZARDOUS. � - �L(7(,t/L( (� <br /> TYPED OR PRINTED FULL NAME d SIGNATURE DTE <br /> EPA <br /> NAME Dw+ig6t Trucking,Inc- eo_ C A D 9 6 0 6 9 4 7 2 J <br /> W <br /> OADDRESS P.O.Box 81675 SERVICE ORDER NO. Q �/ <br /> IL <br /> N CiTV.STATE,ZIP Bakersfield,California 93M PICK UP DATE T - 3^- " <br /> Z <br /> Q <br /> n: PHONE ND. (805)899-1877 <br /> r ' <br /> L e w he y-s 8 <br /> TRUCK UNIT.LD.NO, 9 O 4 oOG f-'?CL/<07PED OR PRINTED FULL NAME A SIGNATURE DATE <br /> EPA <br /> NAME - T.,(—�1NO. 1 <br /> DISPOSAL METHOD <br /> ADDRESS STAR 7.�IU E <br /> ❑� �IAND�FILL � _OT�H/E _L <br /> VJ ;r.' T n-:.- :.�••c- �ldi'{�(/�'[I I�LX. .(,11T <br /> dTv.STATE.nv <br /> yu F4k/Yicl11/y/ <�tr� �/ �9 <br /> QPHONE MO. <br /> �" TYP O OR PRINTED FULL NAME" KAT DATE <br /> GEN OLD/NEW L A TONS <br /> TRANS $ B ,�c- ♦2Z <br /> C/O R"CD HWDF NONE DISCREPANCY 1111j)) <br /> 1 <br /> r <br />