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NO. s,6385$ <br /> NON-HAZARDOUS WASTE DATA FORM <br /> GENERATING ST-7: EDA <br /> NO <br /> NAME c'�'f �T OOAST k�R' iJE..�r'TS LLC- 05469 g <br /> PROFILE <br /> ADORE55 •O. EJ�X SO.��I3 'I S�S ��ILS�II`' :tin.t� f <br /> {SIS, .4 ���J PHONE NO. I 9,49460 72 <br /> CRY,STAE,QIP <br /> CONTAINERS:No. _ VOLUME WEIGHT <br /> Lu <br /> TAMK <br /> DIJIMP <br /> '4'�W,til TYPE: ❑ TRUCK ❑ TRUCK ❑ DRUMS <br /> ❑ CARTONS ❑ OTHER <br /> .m WASTE DESCRIPTION NOR-4- hZAyCOUSGRAVEL ENERATIN3 PROCESi{iE iP :E-bMrAT 7NECC,iir kTIOP,i <br /> t <br /> Q �! COMPONENTS OF WASTE PPM 36 COMPONENTS OF WASTE PPM 4L <br /> .1��P 1• 8. <br /> V <br /> Co. <br /> 3 7. <br /> O.. BESI:14 K 4.2 <br /> ..°. ' PROPERTIES: PH ❑ SOLID ❑ LIOLND ❑ 9 <br /> SLUD3E ❑ SWRRY ❑ OTHER <br /> s HANDLING INSTRUCTIONS: 24-HOIJR EtYIERf.-)E}JCY PHOP4E: 3Pjt1-�!?�1-a30� <br /> THE GENERATOR CERTIFIES THAT THE <br /> WASTE AS DESCRIBED IS 100% <br /> NON-HAZARDOUS. <br /> TYPED OR PRINTED FULL NAME d SIGNATURE DATE <br /> EPA <br /> ,.. .r, <br /> NAME SCL'SHIRE I.O. . .. <br /> �. NO. <br /> W <br /> ,5-P-71 TO'%&NE Cc!NT��C:I~1b� <br /> AODRESS SERVICE ORDER NO. <br /> Q: F <br /> POOTHILL RANCH. w'A 221 '117 <br /> CITY,STATE,DP <br /> ?ICK UP DATE <br /> PHONE N0. '049)4130-,5200' <br /> low <br /> TRUCK,UNIT,1.0,NO. TYPEDGdPqWeO AiLl NA a AAdwA7 <br /> S <br /> EPA <br /> NAME All ED.Sr'ZASTE No. <br /> L. <br /> DISPOSAL METHOD <br /> ' ADDRESS 9.9Q S. AUSTIN' Rri.s <br /> ❑ LANDFILL ❑ OTHER <br /> Com•STATE,2100ANTEICA. CA 95334 <br /> PHONE No. 20.0-962-4228 <br /> N.�•�M TYPEDIN <br /> I R PRTED F'OLI.XWE S SIGNATURE PATE <br /> "7 GEN OLO/NEW <br /> L A Tons <br /> t.i TRANS S B <br /> �' RTlCD HWOF <br /> Cla NONE DISCREPANCY <br /> h, <br />