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NO. 713997 <br /> NONHAZARDOUS WASTE.DATA FORM <br /> BEESI <br /> 248-148 i <br /> Generator a Name eN Malting Address Generator's Site Address Of different than matling address) <br /> '-'ELEVEN,INC. 7-ELEVEN 14117 <br /> P.O.BOX.80741 2726 COUNTRY CLUB MLVID <br /> r ;. <br /> RANCHO SANTA MARGARITA.,CA 02680 STOCKTON,CA 96204 E <br /> Generstofa Phone: 11 lRf3-32f1U <br /> Container.type removed from site: _ Container type transported to receiving facility: <br /> r <br /> CKDntms ❑ Vacuum Truok. ❑ Roll-off Truck ❑ Dump Truok ❑ Drums XM Vacuum Truck ❑ Rolboff Truck ❑ Dump Truck <br /> ❑ Other ❑ Other <br /> quantity' quantity Volume <br /> WASTE DESCRIPTION, NON^HAZARDOU'0i WATER GENERATING PROCESS VVELL P?l RGjNG/0EC't3N%/ATEF'! <br /> IZ-. COMPONENTS OF WASTE PPM % COMPONENTS OR WASTE! PPM % <br /> 111K(ER 43-�(:l(3afit <br /> 3. <br /> ') 2 TPH <br /> 4. <br /> .:Waste Profile PROPERTIES:pH 7 1t? ❑ SOLID a62t LiouiD ❑ SLUDG£ ElSLURRY L3 OTHER <br /> HANDLING INSTRUCTIONS: <br /> I <br /> Generator Pdntaci fyped Name Signature Month Day <br /> Year <br /> Larry.Maathad.of KSI'an behalf of generator <br /> The Generator ceNes that the waste ae described Is 10o%non-hazardous <br /> Transporter t Company Name Phone# <br /> BELSHIRE ' »ctf3p�?S3Qrt. <br /> [an.poiNr t Printed ped Name Signature <br /> Month Day Year <br /> dansporta,Aci n adgment of Receipt of Malerfals(n ansporter2companyNamePhoneM <br /> IETO :.SONS TRUCKINO,INC. 714�I�9r-#BtiS. <br /> Transporter 2Printe"pedNameSlgnayu Month Day rorar <br /> f <br /> Transporter Acknowledgment of necelpt of Matettale <br /> Uasignated Facility Name and Site Address P w <br /> 0 <br /> MEMENNO Fit F2DOON 1Q-5 7^'74U0 <br /> � <br /> moo N.At.AMres.k ST. - <br /> Q t'omp-rON,C'A`.910222 ' <br /> Wr nt pe ams gnature on Day ear ? <br /> VV <br /> Destgnated Facility Owner or Operetor:Codification of receipt of matedata covered by NO dela form. i <br /> iL4i��. <br />