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' *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 WEIGHTApprox. 21 t n <br /> TYPE: [ ] TANK [x] END DUMP L 1 OTHER <br /> ' W^,S-� UESCROTION <br /> Soil w/waste oil <br /> GENERATINGPROCESS <br /> Tank removal & over excavation <br /> COMPONENTS OF WASTE PPM <br /> N/A <br /> ' pH [ x1 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 PHONE:1 =--^"66 <br /> CITY STATE ZIP Ha ward CA 94545 <br /> SERVICE IRO. NUMBER 2 73 <br /> DRIVER'S NAME&SIGNATURE <br /> ' TSD FACILITY <br /> NAME Liquid Waste Management <br /> AppySS 565-33 Highway 58 <br /> CITY STATE ZIP McKittrick CA PHONE: 1-805-762-7366 <br /> DISPOSALMETHOD Gtr <br /> ' TONNAGE RECEIVED> cL J <br /> Prli ;td Name, Signature Date: <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 /> ' EMOSIGTUR : n�4c K DATE: 3 <br />