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NO. 669567 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> 7-1 <br /> eL8706a�ry} � <br /> _ <br /> Gana..tm'e Nam.and Meiling Address Generebr's Sae Adtlrew GI different than moiling address) <br /> OP WEST COAST PRODUCTS, LLC 02108 <br /> P.O. BOX 80240 441 W CHARTER WAY <br /> RANCHO 8ANTA MARGARITA, CA 92688 STOCKTON, CA 952130 <br /> GoneraW.Phone: 949-480-6200 <br /> Container type removed from Site: Container type transported to receiving facility: <br /> VDmme ❑ Vacuum Trude ❑ ROD-off Truck ❑ Dump Truck U Drums X Vacuum Truck ❑ Rolloff Thick ❑ Dump Truck <br /> ❑ Other C1 Other <br /> Quantity Lel quentlry Volume (,,/,.. •� `+l 4. <br /> t <br /> W WASTE DESCRIPTION NON-HAZARDOUS WATER GENERATING PROCESS W r.LL PURGING/DECON WATER <br /> tZ COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> C3 WATER 0641D0°JD <br /> v s. <br /> 2. TPH _9% 4 <br /> Waste Profile PROPERTIES: pH 7_10 ❑ SOLID r"0 LIQUID ❑ SWDOE ❑ SLURRY ❑ OTHER <br /> HANDLING INSTRUCTIONS: WEAR ALL APPROPRIATE PERSONAL PROTECTIVE EQUIPMEN'T'. <br /> I <br /> r <br /> generator Printedfrypsd Name Signawre �% Month Day Year <br /> Larry MDothart of BESI an tnahalf of generator <br /> The GaneraWr ca0es that the waste m described he 1 DO%nonfiaw mlous <br /> Transporter 1 Company Nenro Phone# <br /> BELSHI RN 949-4610Y6200 <br /> UJ T eporter/PdntadMPatl Name Signature fMonth Day Ywr <br /> I / <br /> 0. Tune onar Ac aWadgment of Recelpt of Materials <br /> (n Tteneporler 2S meaty Name Phone# <br /> Z NIETO &SONS TRUCKING, INC. 714-09G-5856 <br /> r,p?rkor Y Pdnledyfyped Name' 8lgnaluq ,. _ Month Day Year <br /> Tnnspoder AcknoMedgmant of Racelpt or Matedala <br /> Deelgnatod Facility Name and Site Address; Phmre# <br /> OEMENNO KERDOON 890-637.7100 <br /> .I 2000 N. ALAME..DA ST. <br /> Q COMPTON, CA 90222 <br /> LL <br /> C3 <br /> Z <br /> IjJ <br /> [PrlRt-0CWuTvF.d­Ir.—mWSignature J Day ar <br /> W (/ �r V�) Izznated Fetliay Owner or Operator:CedlOcaaon of neeipt of materiels covered by Chia date form. <br />