Laserfiche WebLink
' -HAZARDOUS WASTE DATA FORM • <br /> GENERATOR: <br /> NAME Ryder Truck Rental, Inc. Properties and Construction Division <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 ton <br /> TYPE: [ ] TANK f X] END DUMP OTHER <br /> ' WASTE DESCRIPTION — <br /> Soil w/waste oil <br /> GENERATING PROCESS <br /> 1Tank removal & over excavation <br /> PPM <br /> COMPONENTS OF COMPO <br /> N/A <br /> - L <br /> ' pH [ X] SOLID [ ] LIQUID [ ] SLUDGE <br /> [ IOTHER <br /> ' HANDLING INSTRUCTIONS <br /> ff <br /> gloves when handling <br /> Certifies that the Waste as Described is 100% Non-Hazardous. <br /> TER <br /> S.T. <br /> 3472 Enter riseb81''bCI , E ZIP Ha and CA 94545 PHONE:1-8A3-7-6� <br /> SERVICE/P.O. NUMBER 173 <br /> DRIVER'S NAME&SIGNATUREN AIA <br /> ' TSD FACILITY <br /> NAME Liquid Waste Management <br /> ADDRES565-33 Highway 58 <br /> FPrinted <br /> STATE ZIP McKittrick CA PHONE: 1-805-762-7366 <br /> DISPOSAL METHOD <br /> ' TONNAGE RECEIVED> / 7 <br /> Name Signature, Date: - o <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 /> GENERAT GGNATURE: DATE: - j <br />