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� • Mir��r`I'' fa <br /> 67 <br /> t • mil '-;410 " �+ S �. S <br /> -; NON-HAZARDOUS WASTE DATA F0FtMt'/2or;r <br /> " <br /> NAME_ Exxon Company, U.S.A. ID- <br /> EPA <br /> ADDRESS T _n_ Box 441 __ NO I,�1 ;f,�AL!_g IIF {P'tit d r I I <br /> CITY STATE ZIP HOtiBtOn� CA 773I0-4415 PHONE'No ISM - 246-8700 <br /> -0 CONTAINERS No votuMEL/ WEIGHTLLJ TANK DUMPS <br /> Z TYPE ❑ TRUCK OTRUCK ❑ DRUMS ❑ CARTONS ❑ OTHER J <br /> LLA <br /> WASTE DESCRIPTION Non Hazardous Soil GENERATING PROCESS Excavation <br /> f <br /> m COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM W <br /> LLI� 4 SoXI a 99+Z 5 <br /> II- r <br /> ul <br />�._ a� z Gasoline CIX a <br /> V 3 7 <br /> W ~ ' , <br /> I is <br /> m +4 <br /> .777;; <br /> PROPERTIES- PH r JY SOLID <br /> C] LIQUID C3 SLUDGE C1 SLURRY ❑ OTHER <br /> ' `r i 3 y F •♦ „��> -'s�i� - . w. ..ak t :� IJ .�I t •:'{� � S 3 R, ' <br /> +1ANDt ING INSTUCTIONi-_p�Qf I 1 a #hf�'� '�CX � � " �f Cr�Ch V �w. ` •. <br /> "'-q� i •. _w V.�`l�y F,-< i" fJ tiT, ` �^' - �^ � -rf 71�.+w <br /> THE GENERATOR -CERTIFIES--T-HAT <br /> THE WASTE A$ D9$CRIBED IS 10096 Md��.3 Gensl�rF_, r ii c I I 47'4 NON-HAZARDOUS--- ' , <br /> TYPED OR PRINTED FULL NAME& I� �ya�.. •.�w r DATE <br /> Dillard Truckip&. Tnr_ <br /> W NAME_ <br /> JIM <br /> 0 ADDRESS P.Q. BQX 2113 SERVICE ORDEFt NO; j2b# ry <br /> v nZ= CITY STATE ZIP B:ran�A R.1A I/A PICKUP DATE » Z' <br /> - <br /> /� 5 <br /> r . �- '2[:✓, ��� A fill' I . ,,.��� sf '[_jam /.G .__ <br /> TRUCK.UNIT I D NO r TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> ..`� EPA <br /> NAME Laidlaw -Environmental Services *O <br /> No <br /> +ISPOSAL METHOD <br /> ri �ADpFIE53 <br /> 25O0 Lokern Road LANDFIL I^--I <br /> CITY STATE ZIP_ $uttonwillow, CA 93205 <br /> ��,.•Za^ni'.l"it - e � s.'v '.. � 5 ;- <br /> *' I PHONENO 800 544--7199 <br /> :p <br /> '414 <br /> 3 - <br /> '' <br /> 77pqOR PRINTED FULL NAME&SIGNATURE, Y » i DATE <br /> r '` CiENF3t1 t iw [' <br /> OLD, L Aar. <br /> _ TONS , <br /> �+ a�7 r• i <br /> TRANS z _ I S B <br /> r_ <br /> t RTlCD 1 ' <br /> CIO HWDF NONE I DISCREPANCY'" <br /> Ir •al„ � S', f` , ,r „-. t <br /> f W. 1 dt}r.,, 1M• rx 14 I y <br /> c:it r WI ° ° �",1's F+ '• '."y 1 <br />