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06/02/2005 10:12 FAX 510 614 8596 PARADISO MECHANICAL 1j005 <br /> a.g <br /> 5568 <br /> NON-HAZARDOUS WASTE DATA FORM' <br /> A .1 MARTIN. f7T .417v <br /> NAME <br /> ADDRESS <br /> PHONE NO. ( s�i F V 4_213r. <br /> CITY.STATE.ZIP <br /> O URFA <br /> CONTAINERS:No. VOLUME WEIGHT 1 <br /> Q <br /> TYPE: ❑ TRUCK TANK ❑RUCK DUMP ❑ DRUMS ❑ CARTONS El OTHER <br /> WASTE DESCRIPTION E.i-F`+ 1�IuT5iT !+lu7�l Lit kl IInk GENERATING PROCESS .ra'37a.a�3LL b] <br /> COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM % <br /> m <br /> W 1 5 <br /> J2- 5. -- <br /> a <br /> 3 7. <br /> W ". e.. <br /> to <br /> Q PROPERTIES: pH ❑ SOLID ElLIOUID ❑ SLUDGE 11SLURRY © OTHER <br /> ,:��iiF,4tli� F,�FI�F'.G�')l.Y!�'II'itafF:F'f�,If�PIP=R 4:•"�i"moi d2.5-r�,`d%+'1 <br /> HANDLING INSTRUCTIONS. <br /> 9E�t`'u >; STA;?LIPi A�A�' I v�%P✓ �'�R ,_ _ - tr7( ��S <br /> F"rf7r'7A7vmT ' C.! fir• �`' TYPED OR PRINTED FULL NAME SIGNATURE DATE <br /> i.17-,�;,';fl ;:yj7'?7�SR"H.f},i7''•6: <br /> IX NAME <br /> m <br /> ADDRESS SERVICE ORDER NO. <br /> CITY,STATE,ZIP f' PIG�I'UP DATE �r� <br /> cc PHONE NO. ( ! , ,•may! ,� ,i l+' fJ� <br /> TRUCK.UNIT,I.D.N0. TYPED OR PRINTED FULL NANWE&SIGNATURE !' DATE <br /> �•�,'p�_, r�,,-��E:L.'.SiF.'spF'r, � F'WuaT�,r_9�: ���f��rJ <br /> • NAME �..,,,,....__ <br /> DISPOSAL METHOD <br /> F„ ADDRESS Flo N� ❑ LANDFILL ❑ OTHER <br /> 900.IL <br /> (� CITY,STATE,ZIP <br /> 0 PHONE NO. <br /> F TYPCD On PRINTED PULL NAME a SIONATU19C onTE <br /> GEN OLDINEW L A TONS <br /> TRANS S B <br /> C/Q RTlCD HWDF NONE DISCREPANCY <br /> TRANSPORTER'S COPY <br />