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' OON-HAZARDOUS WASTE DATA FORM. <br /> ' GENERATOR: <br /> Np,ME 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 Tj 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 [ I LIQUID [ j 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 Enterprise yl3- 3 <br /> ' CITY STATE,ZIP Hayward, CA 94545 PHONE:1-:- � <br /> SERVICE/P.O. NUMBER 2173 <br /> DRIVER'S NAME &SIGNATURE LAN c,/@ iJ rl�n?�-- (iL� <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 REC EIVED> /7 . ..2 <br /> Printed Name Signature, Date LA <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 /> GSNERA NA R� � ` DATE: 3� <br /> v <br />