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i r <br /> NOW HAZARD4LJ'S WASTE DATA FORM' <br /> T <br /> Exxon Company, U.S.A. EPAESS_-6-0- R 4/1 S _ NO IV <br /> CITY STATE ZIP—Houston, CA 77310-4415 PHONE'NO r <br /> 310 246-§70() <br /> cc <br /> -0 CONTAINERS No J VOLUME��Q U� WEIGHT - <br /> a <br /> W TANKDUMP _ <br /> Z TYPE ElTRUCK dITRUCK ❑ DRUMS ❑ CARTONS ❑ OTHER <br /> W <br /> C7 Non Hazardous Soil 'Excavation <br /> � WASTE DESCRIPTION GENERATING PROCESS <br /> �r COMPONENTS OF WASTE PPM 46 COMPONENTS OF WASTE PPM tv <br /> W Soil 99+% 5 <br /> � i <br /> W - " <br /> 2 Gasoline 0% 6 <br /> a <br /> 0 3 7 <br /> V - <br /> uj <br /> PROPERTIES pH SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER 'T r <br /> HANDLING INSTUCTIONS^ E'r^9i 1 0 #m_QZ..x 3E�eYf�T <br /> THE GENERATOR CERTIFIES"-T`HAT <br /> THE WASTE AS DESCRIBED IS 10096 <br /> Marla Guensler _, '� �� hA, <br /> NON-HAZARDOUS „ <br /> TYPED OR PRINTED FULL NAME&§16 DATE <br /> 5 SPA <br /> m NAME_Dillard Trucking, Tnn_ Na� 9 u <br /> W N <br /> ` .l. iv +vbfikGr,1r�*'i�ptis .�r..'D7ow'+ r -yam <br /> 0 ADDRESS SERVICE ORDER Na -Tn� -Z001Qi ,,,�_,_L <br /> N CITY STATE ZIP Ryrnn_ r-A Qla51r+ PICKUPDATE <br /> r Z 1. s <br /> k. <br /> TRUCK UNIT 10 NO (� .c TYPED OR PRINTED FULL NAME 8 SIGNATURE DATE <br /> .. EPA <br /> ' NAME Laidlaw Environmental Services '»�w< No <br /> '—DISPOSAL METHOD <br /> .y ADDRESS 2500 Lokern Road "- ' � ] LANDFIL��ys❑ OTHER <br /> .� r Butronwillow, <br /> J4rv; CITY STATE ZIP y ,_ CA_ _93206 <br /> 'PHONIE NO 800 - 544-7199 <br /> PRINTED FULL NAME 8 SIGNATURE v j ' DATE <br /> "u GEN Tx_ OLDINEW i, A, IONS r <br /> 'TRANS - ~ S B <br /> CIO 1 RT/CD HWDF NONE DISCREPANCY- <br /> 4 - <br /> F ' <br />