Laserfiche WebLink
• � t � - ••� �r FAX+ <br /> {f NON-HAZARDOUS WASTE DATA FORMg3��? <br /> " + ,3 <br /> NAME Exxon Company, L1.S,A. <br /> __. .-.. EPA <br /> ID [;;iA <br /> ADDRESS n12am4 3 -NO <br /> HougCon, CA 77310-4415 } <br /> CITY STATE ZIP Pt10NE NO f <br /> CONTAINERS Na Q- VOLUME �e ✓�' WEIGHT <br /> a <br /> Q <br /> U, TANK ryOUMP <br /> Z TYPE ❑ TRUCK L1Q TRUCK ❑ DRUMS ❑ CARTONS 11 OTHER <br /> W <br /> 0 WASTE DESCRIPTION Non Hazardous Sail GENERATING PROCESS F-XC$Vat1On <br /> mCOMPONENTS OF WASTE PPM % COMPONENT$OF WAST`Y-` ; PPM % <br /> Ill Soil 99+%- <br /> 4,{l <br /> a2 Gasoline F2^- ^ 61 <br /> W \4 a "w• <br /> Gtil v r� <br /> r PROP ES. pH ZI SOLIQ > ❑ L10111Q' Q.SitlQGE ,, �--� <br /> �C$?`UR�„ <br /> HANDLING INSTUCTIONS <br /> THE GENERATOR CERTIFIES THAT <br /> - THE WASTE AS,DESCR18ED IS 100% Marlar Guens].er <br /> NON-HAZARDOUS <br /> TYPED OR PRINTED FULL NAME d S! NA U E- f - DATE <br /> a <br /> CEPA <br /> 1D <br />` NAME Tliilarrl Trtir}tin� Tor+_ NO <br /> W �. <br /> _ � � _ t�� � _ _ � ..' w .L ridi✓art.. 16- i -_ •GM'.x -_ . 'i-v+`.!��.. �w , ��� U�'� <br /> O ADDRESS, P_f1_ Rner 2 1 R _. SERVICE ORDER NO .Tnh�o/os S <br /> IL <br /> E Z CITY STATE ZIP_RyvnnnrCIA QAg1L � UPDATE_ -1 Q2�• I 1 <br /> cc PHONE NO 510 ) 634-6850 <br /> TRUCK UNIT 10 NO TYPED OP PRINTF FULL NAME^13NATO DATE + <br /> NAME Laidlaw Enviro ntal SOrVIC08 e * �- <br /> .N"� '.� °„ + _ �, - � ��-ip}►,~' t r- 'DISPOSAL ETHOO <br /> r ADpRE55 2500 Lokern Road - - :C+J LANDFILL ❑ OTHER <br /> rrITY STATI:ZIP Buttonwillow, CA 93206 <br /> 3nPHONE NO 800 - 544-7199 ti <br /> w + � r• TY OR RINTED F LL NAME SIGNATOR ,y" DATE <br /> ,- <br /> =I . <br /> •- GEN OLD/NEW L A TONS �� F +A <br /> TRANSw,.3+.... <br />[� Ate- ( �_♦ A <br /> C40 �` RT1CD + + M1NOF{DONE oiscREPANCY -" +• - '��" '� ; , - - <br /> 7 <br />� . i i�i roil •rrwrrr^^u.rr wwwr�ra�l�rrre� <br />