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' *N-HAZARDOUS WASTE DATA FORM • <br /> ' C�IERATOR: <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 t n <br /> TYPE: [ ] TANK [X] END DUMP OTHER <br /> ' WASTE DESCRIPTION <br /> soil w/waste oil <br /> GFSIERATMIG PROCESS <br /> Tank removal & over excavation <br /> COMPONENTS OF WASTE PPM <br /> N/A <br /> ' A v --Tt- - <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 /> GAME A.S.T. <br /> ADDRESS 3472 Enter rise �((5-7 -6�73�cc <br /> ' CITY,STATE,ZIP Hayward, CA 94545 PH0NEI'M rw."'u - <br /> SERVICE]P.O.NUMBER 217 <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 METHODS r/ <br /> ' TONNAGE RECEIVED <br /> Printed Name, Signature Date: 1 <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 /> E TQR ISGNA RE: n � J��I DATE: <br />