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If <br /> 2brZ) <br /> 255 Parr Boulevard, Richmond, California 94801 i1 4 19914 <br /> (510)235-1393 • FAX(510) 235-3709 <br /> NON -HAZARDOUS WASTE DATA, <br /> EPA <br /> NAME Sena i'e LtAl lulu <br /> LD. Jr. IA ID 19 IS 11 14 15 19 19 14 14 <br /> ADDRESS <br /> P 0 3o% 1947 NO. <br /> CITY.STATE.ZIP <br /> Fresno CA 93718 PHONENO- �D9 f 4G1�7R6e <br /> _ <br /> CONTAINERS: N. 1 VOLUME 1 CONIC tTnrd WEIGHT <br /> O <br /> F <br /> Q TANK DUMP <br /> LU <br /> TYPE: ❑ TRUCK ❑ TRUCK ❑ DRUMS ❑ CARTONS ®OTHER Ping {C usap <br /> Z <br /> W <br /> (7 WASTE DESCRIPTION T nneifn ohnntµ GENERATING PROCESS r"'=^frnef{nn TRIafldA 7111v <br /> r COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> m , <br /> Lu i.Nouf#ieble asbestos transite sheet 1001 5. <br /> Lu <br /> J 0 <br /> Q. z. <br /> 2 <br /> V 3. 7 <br /> Lu <br /> m 4 <br /> o t <br /> PROPERTIES: OH N/A ® SOLID ❑ LIQUID 1:1 SLUDGE 13 SLURRY ❑OTHER <br /> HANDLING INSTRUCTIONS Handle ( eye$ ; Nin Wrl& D1�eLtf <br /> i <br /> A y <br /> THE GENERATOR CERTIFIE!T <br /> HAT <br /> THE WASTE AS DESCRIBED100% n�l� �e �Aj��/ ?%, a S,� 4y <br /> NON-HAZARDOUS. 1 <br /> TYPEDOrINTE l7L NAME B SIGNATURE DATE <br /> EPA <br /> W N4ME <br /> Erickac�n. Inc 0, �k 1 LZ 10 10 19 14 16 16 13 1° 12 <br /> 1 p <br /> m ADDRESS 233 Parr B1Yd• SERVICE ORDER NO _ <br /> Q <br /> IL Richmond{ CA 94801 - ! <br /> 47 <br /> Z CITY.STATE,ZIP_ PICK UP GATE <br /> 2 PHONENO. (57.0 ) 235^1393 i <br /> TRUCK, UNIT, I.D. NO. �' �J TYPED OR PRINTED FULL NAME&SIGNATUR / - - --- DATE_ <br /> / / 4 <br /> EPA <br /> I.D. <br /> NAME a A J Landfall NO. <br /> �w. G'�SPOSAL MfiHOD <br /> �. ADDRESS —__ VANDFILL ❑OTHER —_ <br /> F <br /> J CITY.STATE,Z,P — ----- — <br /> V <br /> LL PHONENO.(707 f 431-3276 <br /> TYPED OR PRINTED FULL NP ME a SIGNATURE DATE <br /> GEN OLD/NEW L q TONSTRA ) <br /> ( <br /> C/o $ B <br /> C/O P,T/CD H'NDF NONE DISCREPANCY <br /> CPfi087 <br />