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' 0 <br /> NON-HAZARDOUS 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 WEIGH-TApprox. 21 ton <br /> TYPE: ( j TANK [x) END DUMP T I 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 /> CQ s}ry4A, -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 Enterprise WF-73,x--6873 <br /> CITY STATE,ZIP Ha ward CA 94545 PHONE66 <br /> SERVICE/P.O. NUMBER 173 <br /> ' DRIVER'S NAME&SIGNATURE <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 e <br /> ' TONNAGE RECEIVED> 1'2 <br /> ' Printed Name Signature, Date fl `k- <br /> 7 -2 <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 /> ' ERA RE: n__ (c ( , DATE:3 ^Z <br />