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ASN-HAZARDOUS WASTE DATA FORM • <br /> ' �GETIERATOR: <br /> NAME Ryder Truck Rental, Inc. Properties and Construction Division <br /> ADDRESS 3600 Northwest 2nd Avenue <br /> CITY,STATE,ZIP Miami, FL 33166 PHONE: 415-820-9391 <br /> ' CONTAINERS 1 VOLUME Approx. 12 yds WEIGHTApprox. 21 t n <br /> TYPE: [ ] TANK [x] END DUMP OTHER <br /> WASTE DESCRIPTION — <br /> Soil w/waste oil <br /> GENERATING PROCESS <br /> ' Tank removal & over excavation <br /> COMPONENTS OF WASTE PPM % <br /> N/A <br /> 1 <br /> ' pH [ x] SOLID [ ] LIQUID [ ] SLUDGE <br /> [ ] OTHER <br /> HANDLING INSTRUCTIONS <br /> Wear gloves when handling <br /> Generator Certifies that the Waste as Described is 100% Non-Hazardous. <br /> ' TRANSPORTER <br /> NAME A.S.T. <br /> ADDRESS 3472 Enter rise 14 <br /> CITY STATE,ZIP Hayward, CA 94545 11 PHON 366 <br /> SERVICE/P.O.NUMBER 2 7 <br /> DRIVER'S NAME&SIGNATURE J <br /> ' TSD FACILITY <br /> NAME Liquid Waste Management <br /> ADDRESS 565-33 Highway 58 <br /> ' CITY STATE ZIP McKittrick CA PHONE: 1-805-762-7366 <br /> DISPOSAL METHOD <br /> TONNAGE RECEIVED> <br /> Printed Name Signature, Date: x'< �s <br /> GENERATOR HEREBY CERTIFIES THAT THE ABOVE INFORMATION IS TRUE <br /> t TO THE BEST OF HIS KNOWLEDGE AND AGREES TO NOTIFY A.S.E <br /> IF INFORMATION CHANGESANDTHAT ANY SAMPLES WERE TAKEN IN <br /> ACCORDANCE WITH FEDERAL AND STATE PRACTICES. <br /> GENERATORSIG 4 RE: �` DATE: 3-2 8-`I <br /> 1 <br />