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-r► qbj , r' y mer <br /> rr. a • L a r'y,K axi ^ f 'tY' "iSla �� 7t1/3 <br /> s},, NON=H AZA R DO U S�,,,,,WAS. <br /> 't�;L��-� <br /> 'NAME Exxon company, LI.S.A. ." �° i N3�w vt�t�, <br /> CEPA {v;. r r,� <br /> i rid' tia:y, YeYr.�l}' '�:G71 <br /> �r ADDRESS n 2Gm 441A_--.... NQ ; t I`, i74 yl Tj <br /> CITY STATE ZIP Houston, CA 77310-4415 PHONE NO 15-101 - 246--8700 <br /> OL fj "c4�1^t, Y• t L <br /> 0 CONTAINERS No z VOLUME WEIGHT' <br /> f-WTANK DUMP <br /> �r TYPE - ems E� TRUCE( ,s❑ THLICK+ ElDRUMS. Lf CARTONS El OTHER <br /> *WAtTE"DESCRIPTION Non Hazardous Soil GENERATING PROCESS .xC8V8to[1 <br /> COMPONENTS OF WASTE PPM ay COMPONENTS OF WASTE _ _ PPM ro <br /> G <br /> W , Soil 99+% ,awe s <br /> —J , 2 -Gamoline 61 <br /> CL <br /> W� <br /> O <br /> W- y - <br /> ca 4 - <br /> O r <br /> r <br /> PROPERTIES PH SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> s ' <br /> HANOtING INSTUCTIONS <br /> wf- <br /> THE GENERATOR CERTIFIES THAT <br /> THE WASTE AS DESCRIBED IS 100% tea's ti� jd°t K <br /> NON-HAZARDOUS Marla Gues�Sler , r < ' <br /> TYPED OR PRINTER FULL NAME&SF N TUBEDATE <br /> - <br /> 4 z EPA arm 1 # "7�rr a p <br /> 1iI« NAME nlllaarrl TrstrkAnS Tn�_ _ NO 1D T $•1 4 $ <br /> "' a'`i> <br /> O ADDRESS��(��Apx '718 T� SERVICE ORDER NO 2(3Q0 S <br /> CL <br /> N CITY STATE ZIP II+,r.+++ rA— _al.5I - ` PICK UP DATE <br /> Z « <br /> ` <br /> PHONE"NO (51p dl 1 63La gash r rt yC <br /> 3� I ' _ <br /> I I.Ae 1S` <br /> TRUCK UNIT 10 NO OR PRINTED FULL NAM 8 SIG ftAE ' '+' 'DATE <br /> Y . _ <br /> 1 EPA <br /> ID <br /> NAME Laidlaw Environmental Services 'r NO <br /> ks " DISPOSAL METHOD <br />` -ADDRE55?gQ� Lokern Road LANDFILL ❑ OTHER <br /> ' U . CITY STATE ZIP Buttonwi l lowT CA g32�0 ri <br /> PHONE A!O 8004 544-7199 °, s �+r� •,`r 3# r x Mi,yz<i� " + <br /> Q <br /> r I <br /> 4F - 7VP R PRINTEp FULL AM & IGNA E DATE <br /> GEN '" OLD/NEW L. i A TONS <br /> s 4, <br /> S+:�jla TRANS $ B r�t <br /> ," <br /> C/O <br /> RT/CD HWDff NONE L-'DISCREPANCY <br /> .Lc <br /> J i <br /> rv,� t_ ' t a 4. r 'F p r •. +> C L L-L,}�� y Y'itr ,t�ei.` 'la, td+ry r� R;^i- �'e ai.s , �"�a I�,tr�a. a. 3 <br /> - - - 1 <br /> f. { ' <br /> .� �j�,,"et.` <br /> "w'1_�` r tea,7kr-d,7 1 w�! y' ji5 + �;_ ,,y�'rat Si�, `'.a„-^tc�.„',"`'0.yw�1 <br /> i}'- ` pti " '{ 1v rT of Y x , Ls <br /> rI <br /> -, <br />