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01- <br /> 5 Y <br /> NON-HAZARDOUS WASTE DATA. FORM � � a <br /> _ 37 <br /> I 4 <br /> NAME � <br /> Exxon Company U.S.A. <br /> FM Z 4` ' "J <br /> ADDRESS P.O.- Rox 4415 „ _ :_ (]1 <br /> Houston. CA 77310-4415 i 1-}p�ON No�If SIQr`M-2fifi-8700 <br /> CITY STATE ZIP <br /> CONTAINERS Na+ VOLUMEUj TANK <br /> Z TYPE ❑ TRUCK TRUCK✓ ❑ DRUMS ❑ CARTONS C1 OTHER <br /> W <br /> l - 5 <br /> I (g Non Hazardous $oil F,�C�avation <br /> WASTE DESCRIPTION GENERATING PROCESS <br /> m COMPONENTS OF WASTE PPM 9b COMPONENT$OF WASTg"t,^{- PPM <br /> 99+2 <br /> W � Soil s <br /> -a <12 <br /> a z GaGolina s _ <br /> V 3 <br /> Ctu <br /> m g a a - _ <br /> it O PROPERTIES pk ® 111311 ❑ <br /> SOLID LIQUID SLUDGE SLURRY + OTHER <br /> ' HANDLING INSTUCTIONS Profile #M-93-N-Exxon <br /> THE GENERATOR CERTIFIES THAT <br /> THE WASTE AS DESCRIBED Is 10096 Marla Guens].er0 a4 <br /> - <br /> NON-HAZARDOUS <br /> TYPED OR PRINTED FULL NAME&SI ATURE DATE <br /> EPA <br /> NAME Dillard Trucking, Inc T - .. . No 9841 1619 2 8 0 9 <br /> ems• _ '_-.Yrs z M .__w �r -+�,- - mac:v :ryH --•_* r :$ �. i�1pbV2000/55 <br /> O ADDRESS P-0- BOX 218 ' 'wVICE ORDER NO - <br /> IL r - <br /> tA CITY STATE ZIP Byron, CA 94514 PICK UP DATE � <br /> Z <br /> a <br /> Q - PHONE NO ( 510) 634-6850 <br /> r � f <br /> - TRUCK,UNIT 10 N TYPE OP PRINTE FULL ME b SIG RE - DATE <br /> .'' '-'Laidlaw Envirommntal Services `, 4 ; , _ n• �" <br /> NAME: <br /> W_--, <br /> + r <br /> 'ADDRESS QISP,0SAL DD <br /> 2500 Lolcern Road " ''� NO L`1E2_C6EB <br /> 'VY"fi�`� <br /> •�. r Buttonwillow, CA 93205 :r`:'•'r:';''' ' <br /> C ` IITY STATE,ZIP <br /> PHONE NO 800 - 544-7199 u <br /> �u a N <br /> R PRINTED FULL NAM IGNA DATE <br /> GEN OLOINEW L A <br /> +� ��� ,. /P��/�„ Y•y :moi e.W' ; y +' 1 - r <br /> IAANS S 8 <br /> L' Q10RTICO HWQF NON DISCREPANCY.l <br /> • RRZ"`� •ti-���.f <br />