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- NO. <br /> ICON-HAZARDOUS WASTE DATA FORM <br /> GEN RA RIG S1 i E: eD =.a <br /> NO. X82 <br /> NAME SP EEL COAST—PRODUCTS. ` L 77:7!}54� <br /> µ <br /> ADDRESS 0. 64 X2A9 PROFRE - <br /> 1302 S l 41-80N WAY NO. �44 <br /> CRY,STATE,LP R, NIPF"o SRITA kiARGAPJTA, CA 92653 S j QC}470P(, CA Q5205 <br /> PHONE NO. 57()o <br /> f G-� ��1 <br /> CONTAINERS:N �� N <br /> - VOLUME WEIGHT - <br /> TANK DUMP <br /> TYPE: f� <br /> ❑ TRUC.�❑ TRUCK ❑ DRUMS ❑ CARTONS ❑ OTHER <br /> WASTE DESCRIPTIONRAVEL <br /> pi6�RD0:�S G <br /> : . COAfPONENTSOFWASTE PPM qy GENERATING PROCESSTEIM1�VESTGATIDA.I [=X��A1�icT;[l}`.I'! <br /> -.. W .o :t COMPONENTS OF WASTE PPM ryu <br /> 2. <br /> O 8 <br /> ,•1,;,:,,:�,,I„l 4. 8 Qt-3:148012 <br /> =i PROPERTIES: PH ❑ SOLID ❑ LIQU(D ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> HANDLING INSTRUCTIONS: 24-HDI EMER GD—JC u}'•1 . 80tH-42,il - <br /> THE Qi=NERATOR CERTIFIES THAT THE <br /> WASTE AS DESCRIBED IS X0040 <br /> NON-HAZARDOt1S. <br /> oil hell ofoarvaratill /L' Zcp CI <br /> TYPED OR PRINTED FULL NAME&SIGNATURE <br /> DATE <br /> NAME BELSFdJ RE fD I' <br /> CC NO <br /> '. Uj - <br /> � t ADDRESS 25.971 TI CENTRE DRIVE' <br /> s a t SERVICE ORDER NO. <br /> .. CITY,STATE,ZPFOOTHILLRANCH, CAI <br /> r PICK UP DATE <br /> f.�-_�;�[ PHONE NO. (949)460-5200 / <br /> P• TRUCK,UNIT,I.D.NO. <br /> t_J , , <br /> -7 � /TYP FUIkiDlit R � 9�r <br /> DATE <br /> N7. <br /> AME ALLtY/v E EPA <br /> 7, DISPOSAL METHOD <br /> 1 ADDRESS 9992s. AU_=TfP <br /> ❑ LANDFILL ❑ OTHER <br /> �r. <br /> CITY,sTATE.zip MANTECA, CA L5336 <br /> � i <br /> 209 9 2-4298 <br /> t.!�• PHONE NO. <br /> INTED FULL, S SI ATUAE (� DATE <br /> F ' <br /> d.� . <br /> GEN OCQlNEW L A TONS <br /> 7 <br /> TRANS $ B <br /> C10 RT1CD HWDF ' <br /> NONE DISCREPANCY <br />