Laserfiche WebLink
N�• ' 70-340 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> 222417 <br /> Generators Name and Melling Address Generatnies She Address(if df vont Men meting address) <br /> SP VVES'• COAST PRODUCT'UC: 13P 021&S <br /> P.O. BOX 88249 3212 N.CALIFORNIA <br /> RANCHO SANTA MARGARITA, CA @2688 STOC:KTON, CA 98204 <br /> Generetora Phone; <br /> 040-460-6206 <br /> Container type removed from site: Container type transported to receiving facility: <br /> Dnmts ❑ Vacuum Truck ❑ Ro%-off Truck ❑ Dump Truck U Dwrns.X?Q Vacuum Truth ❑ Roll-off Truck ❑ Dump Truck <br /> ❑ Other ❑ Other r11r <br /> Quantity <br /> Quantity Volume. <br /> W WASTE DESCRIPTION NON-HAZARDOLIS WATER- GENERATING PROCESS WELL PURGINO f DECON WATER <br /> w COMPONENTS OF WASTE PPM 76 COMPONENTS OF WASTE PPM( % <br /> 1. WATER 99-400% a { <br /> 2.. YPH . 1dla a. <br /> WastgOro% 9$'. ' PAOPERn s: pH 7-1Q ..❑ SONDXW LIQUID ❑ SWDaE ❑ sWRO ❑ men <br /> HANDUN6 OYSTFtl1CnON5: MEAR ALL APPROPRIATE PREESQUALIEROTECTIVE <br /> Generator Pdrted/typed Name si6netMonth Day Year <br /> lan Moothart of 13ESI an behalf of generator <br /> -70- R <br /> The Generatorcortifiea that the waste as described Is 10076 non4mzwdoue <br /> Trernporter 1 Company Name Phone# <br /> BELSHIRE 9Ap-aff!}-8280 <br /> w raf <br /> ortsr 1 Wnrtedflyped Name ,,§Ignature pay• Year <br /> C) <br /> CL <br /> CD . Twwponw 2 ny Name phone# <br /> ZNIETO &8ONS TRUCKING. INC. 71a»9i�[1 68 8 <br /> hrup- , Prf tedn!vPed Name .. swkawre Moryh pay Yew <br /> TrdmporWAdmovAadgrmrTtafRocelptcfMgLter[Wa <br /> }} Designated Oually Name and Slte Address Phone# <br /> F DEMCNNO KERDOON 316.537-7100 <br /> 2000 N.ALAMFOA ST. <br /> COMPTON. CA 90222 <br /> LL <br /> Z { <br /> L„I Print (Typed Name sigmuns Movith ftyenr 1 <br /> W <br /> Q Dealgnated rwility Owner or Operator CertMkation of receipt of Nwgrws red by Iffis <br /> r <br />