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AWW.ARDOUS WASTE DATA FORM • <br /> ' GENERATOR: <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 [g] END DUMP OTHER <br /> ' WASTE DESCRIPTION <br /> Soil w/waste oil <br /> GENERATING PROCESS <br /> ' Tank removal S over excavation <br /> COMPONENTS OF WASTE PPM <br /> N/A <br /> ,4c 3 - <br /> ' pH [ X] SOLID [ ] LIQUID ( ] SLUDGE <br /> ] ] OTHER <br /> HANDLING INSTRUCTIONS <br /> tWear 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 ris3 <br /> '. CITY STATE ZIP Hayward, CA 94545 H' - - 6 <br /> SERVICE/P.O. NUMBER 3 <br /> TSD FACILITY <br /> DRIVER'S NAME&SIGNATURE <br /> ' NAME Liquid Waste Management <br /> ADDRESS 565-33 Highway 58 <br /> ' CITY STATE ZIP McKittrick CA PHONE: I-805-762-7366 <br /> DISPOSAL METHOD <br /> ' TONNAGE RECEIVE> <br /> Printed Name Signature, Date <br /> 0 5 <br /> GENERATOR HEREBY CERTIFIES THAT THE ABOVE INFORMATION IS TRUE <br /> ' TO THE BEST OF HIS KNOWLEDGE AND AGREES TO NOTIFY A.S.E <br /> IF INFORMATION CHANGES AND THAT ANY SAMPLES WERE TAKEN IN <br /> ACCORDANCE WITH FEDERAL AND STATE PRACTICES. <br /> GENERA OR NA r R��� �� \ DATE: 3'�8-� <br />