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• 02/01/2006 17:19 FAX 510 614 8396 PARADISO MECHANICAL 014 <br /> �r <br /> NON-HAZARDOUS WASTE DATA FORM <br /> NAME <br /> ADDRESS <br /> CITY,STATE,ZIP _— PHONE NO.� 4) hdy•31 <br /> 0 CONTAINERS:Na. <br /> 1 vOLUME WEIGHT Tul TANK <br /> �`A=' <br /> z TYPE. ❑ TRUCK TRUCK ❑ DRUMS ❑ CARTONS ❑ OTHER <br /> ui <br /> 0 WASTE DESCRIPTIONt "''I 'fz}��'l �' ''�'�'' "� GENERATING PROCESS <br /> COMPONENTS OF WASTE PPM °b COMPONENTS OF WASTE PPMcl <br /> 46 <br /> m <br /> W y- s <br /> H <br /> J 2, e. <br /> a <br /> 0 3. 7- <br /> U <br /> W 4. a- <br /> go <br /> 0 PROPERTIES' PH ❑ SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER -2 J-41) <br /> C skTtrt��dc�:_ siik��ulI�sszil'3l <br /> ' <br /> HANDLING INSTRUCTIONS: – <br /> u at <br /> q.�,�t,^kti C?v�, (, a`g�_•�•;c TYPED OR PRINTED FULL NAME 8 SIGNATURE DATE <br /> �4 NAME <br /> US <br /> ?Qr�3�.ftq.r"F.STiYY.a�i 3_k9�i'� <br /> ADDRESS SERVICE ORDER NO. <br /> 0 <br /> RL %0 4F33"bT{,, I srj2t,2ar�,1 •' <br /> to CITY,STATE,ZIP PICK UP GATE <br /> Q PHONE NO- <br /> TRUCK,UNIT I.D.NO. PE R PRINTED FULL NAME&SIGNATURE DATE <br /> NAME <br /> l 1 .r lltij t:�"i AT: DISPOSAL METHOD <br /> ADDRESS ❑ LANDFILL ❑ OTHER <br /> J ei4T�f�T,rC'R� G�. ug51 <br /> V CITY,STATE,ZIP <br /> LL <br /> cl PHONE NO. ��) �'�1 •.r p. <br /> N TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> GEN OLD/NEW L A TONS - <br /> �r' <br /> TRANS $ B <br /> J�,r{ry <br /> C!Q RT/CD HWDF NONE DISCREPANCY .;" r <br /> '�!aPiAF'�FRParJ'flilf, <br /> TRANSPORTER'S COPY <br />