Laserfiche WebLink
W <br /> Attach separate page(s) for additional waste material(s) . <br /> Material Description: + <br /> SQ 1 cf c�„��5./��_. Pty. sn....A <br /> Process Generatingthis <br /> waste- <br /> (be specific) <br /> i L4<1 -r 19 +-�� I,��.s n <br />' Accumulation Date: <br /> Type of container: Drums How many Type <br /> IBins How many Size <br /> Hulk pile x Size 'I U (cy) <br /> Other <br /> If drums, what are the drum numbers? <br />' Any special requirements for drum pick up? (Rusty, missing <br /> parts, leakers, etc. ) <br />' If tanks and rinsate, lease indicate the <br /> P number and size of <br /> tanks and what they last contained: <br /> 1 <br /> Comments: Tk -1-+i;.. ,} <br /> Form filled out by: S fw� f l�� Date: <br />' Phone: t9 x _'Zt v Fax: 315 - "? W?u <br /> 2 <br />