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� 1 � <br />I � 1 <br />NO.- 668855 <br />NON -HAZARDOUS WASTE DATA FORM <br />EPA <br />_ 1EN RATING Sf T E• LD. <br />(SITE: <br />e'er C +A[f•£• ''.L rr"e° S" 65 r ��i• <br />dr �s »� <br />- - - NO. <br />s� <br />'mem,•f-`".1m. - - <br />NAME 2-P YyFF.T COAST PRODUCTS LLQ 36 -IN <br />PROFILE.; <br />y,�:•.• A' -..,s,„,* .,, f::#yrs `t wns,�:�: <br />�,„—,_` »ycM ., • • ... :., a ate' ;' <br />GEN <br />�s�TS±a�,�....ere.«,:5, .�.;a::tn,.a�-..:. <br />ADDRESS, <br />,:.3 <br />+�}`' ;; ��!!� y+• { �+ r L /�. <br />RANCHO ,'ryfi��'NTUI ihl:fV,�� i` RU A, CA 02688 S=l Oc \ION, CA c-5205 <br />(•�q�it+ne:•cy.,.7yiw <br />R <br />( � •!• 3 }': Lli.i +���� <br />CITY, STATE, ZIP <br />!' r� le_ <br />y <br />PHONE NO. <br />f°Urr ���� <br />WEIGHT <br />CONTAINERS: N� VOLUME <br />TANK V <br />TYPE: ❑ TRUCK❑ TDUMP RUCK ❑ DRUMS ❑ CARTONS ❑ OTHER <br />RT/CD <br />N0N—,LlAD''R US G -PA EI GENERATING PROCESS4g7G OWES7C;AIX 1 l0N (EXCXV41110M) <br />WASTE DESCRIPTION <br />COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br />C/Q <br />NONE <br />3. 7• <br />rri:? <br />4. 8. <br />PROPERTIES: PH SO'UD ❑ LIQUID SLUDGE ❑ SLURS{R`Y ❑ OTHER <br />j} y❑ y f yEl <br />fl•D"I-i ���.t,�`j ��i-5iw�iN 4 fli �w •S'i �i i`_3Y 1�� �I��:9�R f,J` <br />NDUNG INSTRUCTIONS• <br />HA <br />THE GENERATOR CERTIFIES THAT THE <br />WASTE AS DESCRIBED IS 100% <br />NON -HAZARDOUS. <br />[Mml= <br />ADDRESS <br />A <br />r <br />i <br />iix' F'C EAI <br />TYPED OR PRINTED FULL NAME & SIGNATURE <br />:- r. <br />A 2,21310 <br />CITY, STATE, ZIP <br />PHONE NO. III wi:"'3•9) 4 50 (.32113'.. . <br />NAME <br />ADDRESS S. rOLLEJ l R <AD <br />CITY, STATE, ZIP s''�`ANT=tom CA <br />PHONE NO. fes: <br />f <br />x' <br />TYP'ED ORA RENTED FULL Nkmr & SI W ATURE <br />AL <br />DISCREPANCY <br />EPA <br />I.D. <br />NO. <br />EPA <br />I.O. <br />NO. <br />DATE <br />SERVICE ORDER NO. <br />PICKUP DATE <br />DISPOSAL <br />❑ LANDFILL ❑ OTHER. <br />u <br />A. .r <br />DATE <br />f <br />DATE <br />v <br />GEN <br />OLD/NEW <br />L A <br />TONS <br />�, 71 <br />TRANS <br />s B <br />501. <br />' «�..«"� <br />,�+• <br />RT/CD <br />HWDF <br />C/Q <br />NONE <br />DISCREPANCY <br />EPA <br />I.D. <br />NO. <br />EPA <br />I.O. <br />NO. <br />DATE <br />SERVICE ORDER NO. <br />PICKUP DATE <br />DISPOSAL <br />❑ LANDFILL ❑ OTHER. <br />u <br />A. .r <br />DATE <br />f <br />DATE <br />v <br />