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F <br /> NON-HAZARDOUS WASTEMATA FORM <br /> -C - NAME Exxon Company, U.S.A. <br /> EPA <br /> ADDRESS NO FE P A T <br /> r <br /> CITY STATE ZIP Houston, CA 77310-4415 + PHONE NO r + " 246-8700 <br /> r <br /> 0 CONTAINERS ala _,�� VOLUME "�VYElGHT <br /> LU TANK <br /> t Z TYPE ❑ TRUCK TF{UGK ❑ DRUMS ❑ CARTONS ❑ OTHER <br /> II W <br /> 'ton Hazardous Soil <br /> } WASTE DESCRIPTION ' GENERATING PROCESS Excavation <br /> -m COMPONENTS OF WASTE PPM ph COMPONENTS OF WASTE .PPM ., <br /> H 1 99+% 5 <br /> W <br /> 2�`asnl ine_ <I% ` <br /> M „ ,, s <br /> V 3 • T ` <br /> W ! <br /> m 4 A. <br /> e <br /> O 7 ` <br /> PROPERTIES PH ,R]. OLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> HANDLING-tNSTUCTIONS-Fr-p£ilR <br /> ' THE' GENERATOR CERTIFIES irkAf �— <br /> THE WASTE AS' DE5CR18ED IS0096 Y r - <br /> NON HAZARDOUS �_- � ar3.a easlar" `~-�"' �" •ri°-� • , <br /> TYPED OR PRINTED FULL NAME 8iGN TUBE DATE <br /> "F+A <br /> Q NAME NO 9 8 1 6 9 18 ,0179 <br /> W <br /> - — r <br /> cc ADDRESS 2.0. ROX._21FL t* _ _ - - JobNt 3000/55 <br /> O __ SERVICE ORDER NO <br /> ? CITY STATE.ZIP Syron,C, Q1&511+ ` PICK UP DATE ` <br /> � r <br /> PHONE NO., lStm 634-6850 b ► ^p'^7, <br /> TRUCK,UNIT 1 D NO2-0 7 TYPED OP PRINTED FULL NA &SIGNATURE <br /> DATE <br /> EPA ,,.. <br /> NAME1„sidlaw Environmental Services lD <br /> NO I <br /> DISPOSAL METHOD <br /> .� ADDRESS- -2500 Lokern Road _ I� LANDFILL ❑ OTHER <br /> CITY STATE ZIP Buttonwillow, CA 93206 <br /> Q � • r <br />+ PHONE No 800 - 544-7199 3 <br /> N 1 Z - <br /> L <br /> F` PED OR PRINTED FULL NAME&SIGNATURE A DATE.- <br /> GEN <br /> ATAGEN OLD/NEW L A uMg_ L <br /> TRANS �- S BCIO `��• ` Y4F t'. •k r'-` <br /> Y� <br /> -� � 'NONE - DISCREPANCY •� }��ir,� �r '.�i J ' <br /> - <br /> I-,», �"'"r. r' r' •+`� • ,� • �: y*.,,.," w-� �=` �� a. ' i , L4-�,.�_ , ^; .+'♦ - .-r.t1i ,� �.to ar t_ <br /> ., y��lr�-5 L= -� a� 5a" h F _ .:,,h.:i l � �l��1,1 ♦'SRy�„ _ L}- y ,�+ _ <br /> s � - <br /> • <br /> ^i ` A ' <br />