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02/01/2006 17:18 FAX 510 614 8396 PARADISO 31ECHANICAL Z010 <br /> I., r; <br /> NON-HAZARDOUS WASTE DATA FORM <br /> NAME <br /> ADDRESS <br /> CITY,STATE,ZIP PHONE NO. <br /> 0 CONTAINERS:No. VOLUME WEIGHT <br /> WTYPE' c TRUCK TANK [3TRUCK DUMP 1:1 DRUMS 1:1 CARTONS OTHER <br /> LIJ <br /> 0 WASTE DESCRIPTION GENERATING PROCESS <br /> >- COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM 46 <br /> 0 <br /> ul <br /> H <br /> ui 2. 6. <br /> -i <br /> 03. 7. <br /> 0 <br /> Lu 4 a. <br /> - <br /> ED T- <br /> 0 PROPERTIES: pH ❑ SOLID ❑ LIQUID ❑ SLUE)GE SLURRY C3 OTHER <br /> HANDLING INSTRIUCTiONS: <br /> T>PED 6R'JPRINTR646L NAME'& sieNATuAe DATE <br /> NAME <br /> ui <br /> ADDRESS SERVICE ORDER NO. <br /> CITY,STATE,ZIP PICK UP DATE <br /> Z <br /> PHONE NO. 'J" <br /> TRUCK.UNIT,LD- NO. 'TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> NAME <br /> DISPOSAL METHOD <br /> ADDRESS ❑ LANDFILL 0 OTHER <br /> CITY,STATE,ZIP <br /> ILL PHONE NO. <br /> TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> GEN OLOINEW L A TONS <br /> TRANS <br /> c/o FITICID HWDF NONE DISCREPANCY <br /> RKENING SITE SENDST0 GENERATOR <br />