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258 <br /> r NONHAZARDOUS-WASTE-i �' 1 M= fps <br /> IF E=on Comp! <br /> n U.S.A. <br /> NAME <br /> s ,} EPA <br /> 1 D• <br /> ADDRESS NQ <br /> i <br /> Houston. CA 77310-4415 <br /> CITY STATE ZIP PHONE NO I SIQ - 246-8700 <br /> w - <br /> 0 CONTAINERS Na VOLUME a WEIGHT ' <br /> > <br /> us _ TANK DUMP <br /> Z TYPE r TRUC`,.�❑ THUCK ❑ DRUMS. ❑ CARTONS ❑ OTHER <br /> LU r Pl ` <br /> +WAtTE"DESCRIPTION Non Hazardous Soil GENERATING PROCESS Excavation <br /> Y COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE ppm �e <br /> W , Soil 49+% .� s <br /> LU ' <br /> CL <br /> r <br /> O 3 7 <br /> i a ° _ a <br /> PROPERTIES PH SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> t � <br /> HANOLING INSTUCTIONS <br /> i <br /> i <br /> THE GENERATOR CERTIFIES THAT - a <br /> THE WASTE AS DESCRIBED IS 100% <br /> NON-HAZARDOUS Marla Guensler <br /> TYPED OR PRINTED FULL NAME&SICIR TUBE DATE <br /> EPALID <br /> I W *NAME_t]ilak <br /> lrd Ty-m I n-Q- Tn _ _l_ ----•—•_ -NO D 9 $' I 8 A <br /> rf�` ,r ?LR _ _ nSERVICEORDERNO � ob- <br /> o ADDRESS 24- f 2-300C 35 <br /> Y <br /> ZCITY STATE ZIP :A:A 94514 - PICK UP DATE_ / 7= 42Z s �? <br /> PHONE NO —b85t) - <br /> TRUCK UNIT I D NO TNOOP PRINTED FULL NAM b SIG ATU E 1DATE <br /> E ,y w Laidlaw Environmental Services_ �� _ <br /> IPA <br /> NAME <br /> L <br /> NAME__ u [,N0 �!' I I �1�� E I i <br /> µ DISPOSAL METHOD <br /> ADDRESS 2500 Lokern Road _` =' <br /> kk 11LANDFILL DTH ER <br /> 1 ' r crry STATE,z1P_ Auttonwi low, CA 432Q& '4! <br /> - <br /> u•• PHONE NO 800 - 544-7199 t," `f"`' r` _, . t- <br /> a a1 <br /> }F' ' TY P R PRINTED FULL NAM a IGNA` E w DATE <br /> GEN OLDINEW L A TONS <br /> ~' <br /> TRANS 5 B <br /> Z cla RT/CD HwD NONE L bISCREPANCY - <br /> t y�� <br /> 'i i .` �.r • ' r _ ir♦ '1�*� �i+i s � l�1r�y[4Y2.1 a `'•-�[L — IT L \ �`3� �+ J 1 ' ti., YL'= a°ate ` 1 <br /> M� ,rr !__ _K ,r `!i i-� > '� rii. �♦ ` y �5.•r �r }"�tiij'I[ ,.-TTTilier tX7 �E/"r .� titil ' 1� ,�e, s+."e <br /> .. r��� �r q y.►sy +� �>,r _ � <br /> �`i1Y � * �^'�ai����'t � h ���ra�t'�`-�,`•,�1; ,} � ��^�fi '7 'q� efi� '� .' 'Y'ry <br /> I}, `t- <br />� <br />