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.. <br /> co 22� NO. b lot <br /> NON-HAZARDOUS WASTE DATA FORM <br /> P a - GENEkATII ©SITE LD <br /> A NAME USA PEMOLEUM CORPORA110N 'USA 0035 _ <br /> .905 RANCHO CONEX BLVD. 2705 COUNTRY CLUB EYN i�_.T „M <br /> NEW9CIRY K,CA PAR91320 STOCKTON,CA 95204 <br /> cm sTarE 211 Pr.orvE ND_ t 949 480 5^206 _ <br /> CONTAINERS:NP VOLUME �s-� (1d�OSL4weien; <br /> to <br /> MP <br /> .. TVPE [xTTRUCN ❑ DUEl ElORUMS ❑ CARTONS ❑ OTHER <br /> WAM 1EWAtPnUN NDN-HAZARDOUS`NATER. 11NERATING 1111131 WELL PURGING/OECON WATER <br /> COMPONEMS OF WAST-1- PpM % COMPONENT10 'NASTE PPM % <br /> I WATER 99=400% <br /> aT _TPH s4% -- <br /> u , <br /> +yy��LLjj..1 3 T <br /> BES1:145865 <br /> i 1 __ B <br /> PROPERTU n,)r_4n .0 SODU XK LQUID ❑ SIUME ❑ SLURRY ❑ OTHER <br /> HANDUNG&MUcuON1:.24-HOUR EMERGENCY PHONE:949-OM3705 <br /> THC GENERATOR CERTIFIES THAT THE <br /> °W <br /> WAST A9 DESCRIGEO' Ei fOD45 /,i 1 I <br /> t <br /> No, <br /> wvnnbous Lariv Maothart o°SESI w:h <br /> TIED OR PPINTEOF NAMESSIOHATURE0' A}E <br /> :. <br /> — <br /> WIN= <br /> LCr B arREEavIRaNMNt sERAiycNieto&SO; _ . <br /> ul <br /> * ` 25971 TONNE CENTRE DRIVE 1281 Brea Canyon Road <br /> 2C'SCi' ADDRESS— SERVICE ORDER NO-- <br /> `�' �OgTHUI RANCH.CA 92046 (714 91 10 29 07 <br /> f.ITY91aTf r PMA(UP DATE <br /> - <br /> t' PHONE NO ..."»9�45D• _. //. [L. f/._- - _. .__. .. __/r.�_._ -_. . _ <br /> THUM Mr.1.0-NO. TTpeD.¢N'PAINTED FULL NAME S SIGNATURE DATE <br /> .. kc I rD <br /> NAME ._..EPA <br /> OEMENNO kEROOUN NO ` <br /> _. ... x.e.l <br /> "'S K._. :d. n <br /> _< pISPQ$AL tiETHO: <br /> . ADDRESS :2060 WAI_AMEDA ST. ❑ uND=aL ❑ OTHER <br /> Om 8TATE�COA4PTOM,CA 90222 <br /> �,t;, 346537.7100 <br /> PrIONE NO <br /> IDF s/,fjt PAINT10FUU.NAM ANRE' ' f DARE <br /> T GEN OLdNEW L A TONS <br /> -dr„ sRAau 5 B ' <br /> - - .. Rrrou HweF <br /> �' NONE 1NICiN:PANKN <br />