Laserfiche WebLink
NU, 722078 <br /> NUN-HAZARDOUS WASTE DATA FORMUESI , <br /> 64571 <br /> Generators Name and Mailing Address Generator's Site Address[If different than mailing address] <br /> Bl MBO BAKER ES USA, I NC- SARA LEE (FORMER) <br /> 8550 W. BRYN MAWR AVE-, SUITE 1000 1444 S. LINCOLN ST. <br /> CHICAGO. IL 60831 STOCK'rON, CA 95206 <br /> Generator's Phone: 155-310-2304 <br /> Container type removed from site- Container type transported to receiving facility: <br /> 4Y•Drums ❑ Vacuum Truck ❑ Roll-off Truck ❑ Bump Truck ❑ Drums Xi Vacuum Truck ❑ Roll-off Truck ❑ Dump Truck <br /> ❑ Other ❑ Other <br /> Quanl:tY Quantity Volume 0�5 <br /> 0 <br /> Q <br /> cc WASTE DESCRIPTION NON-HAZARDOUS WATER GENERATING PROCESS KNOCKOUT WATER <br /> w <br /> LU <br /> COMPONENTS OF WASTE PPM S6 COMPONENTS OF WASTE PPM <br /> 0 'ddATER 59-100°!0 <br /> 1- 3, <br /> 2 TPH <,f% 4 <br /> Waste Profile PROPERTIES: pH 7-10 ❑ SOLID XX LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> HANDLING INSTRUCTIONS: <br /> Generator PrintedJypW Name signature Month Day Year <br /> The Generator certifies that the waste as described is 100%non-hazardous <br /> Transporter 1 Company Name Phone# <br /> BELSHIRE <br /> uJ Transporter 1 Printedfryped Name Signature Month Day Year <br /> I- <br /> V v �` r I <br /> tR I ID 4a <br /> a Transporter Acknowl dgment of Receipt of Materials <br /> Co Transporter 2 Co ny Name Phone# <br /> Q NIETO 8,SONS TRUCKING, INC. 714-99G-$855 <br /> (r Transporter P Printedrlyped Name Signature Month Day Year <br /> R E <br /> Transporter Acknow gment of Receipt of Materials <br /> } Designated Facility Name and site Address k Phone# <br /> F— DEMENNO KERDOON 310-537-7100 <br /> J 2000 N. ALAMEDA ST. <br /> t] COMPTON, CA 190222 <br /> Q <br /> C� <br /> Z <br /> 03 PrintedlTyped Name Signature Month Day Year <br /> w <br /> Designated Facility Owner or Operator;Certification of receipt of matarial Bred by this data form- <br />