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' ON-HAZARDOUS WASTE DATA FORM • <br /> ' GENERATOR: <br /> NAME Ryder Truck Rental, Inca 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 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 /> ' CCe O <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 /> Uw v` NAME A.S.T. _ <br /> ADDRESS 3472 Enterprise <br /> CITY STATE,ZIP Hayward, CA 94545 PHONE:1 - 366 <br /> ' SERVICE/P.O. NUMBER 2 <br /> DRIVER'S NAME &SIGNATU <br /> TSD FACILITY <br /> NAME Liquid Wastn <br /> e Maagement <br /> ADDRESS 565-33 Highway 58 <br /> CITY STATE ZIP McKittrick CA PHONE: 1-805-762-7366 <br /> ' DISPOSAL METHOD <br /> TONNAGE RECEIVED> o� <br /> Printed 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. o <br /> GENE RftT_OIGtkTURY&� Ac 4ch I DATE: ' <br />