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' NON-HAZARDOUS WASTE DATA FORM • <br /> GENERATOR: <br /> Inc. Properties and Construction Division <br /> NAME Ryder Truck Rental, <br /> ADDRESS 3600 Northwest 2nd Avenue PHONE: 415-820-9391 <br /> CITY,STATE,ZIP Miami, FL 33166 <br /> ' CONTAINERS 1 VOLUME Approx. 12 yds WEIGHTApprox. 21 t n <br /> TYPE: [ j TANK [X] END DUMP OTHER <br /> ' JJASTE DESCRIPTION <br /> soil w/waste oil <br /> ' GENERATING PROCESS <br /> Tank removal & over excavation <br /> COMPONENTS OF WASTE PPM <br /> /A <br /> Cte ,q.N "- <br /> pH [ Xl SOLID [ j 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. 7 10873 <br /> ' ADDRESS 3472 Enter rise �{[S <br /> CITY STATE,ZIP Ha and CA 94545 PHONE:1=13� 6 <br /> SERVICE/P.O. NUMBER 2173 <br /> ' DRIVER'S NAME&SIGNATURE <br /> TSD FACILITY <br /> NAME Liquid Waste Management�� <br /> ' ppp565-33 Highway 58 <br /> rPrinted <br /> TE,ZIP McKittrick CA PHONE: 1-805-762-7366 <br /> DISPOSAL METHOD � - <br /> ' TONNAGE RECEIVED> <br /> Name Si nature, 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 /> S-tie <br /> G�NERq�(OSIGN TORE: \ DATE: a � <br /> et� <br />