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.TUN�3} 90 TiTU 14:0 RICHMOND SANITARY SERVICE <br /> + WEST CONTRA COSTA SANITARY LANDFILL <br /> P. O. BOX 4020 <br /> Richmond, CA 94804-0020 <br /> has <br /> en <br /> at the aches Contra CostasSankary Landfillmwith the ation fo lowirt9 conditions:approved for disposal <br /> est <br /> 1, Approved waste is accepted Monday through Friday between the <br /> hours Of 8:00 AM and 2:00 PM ONLY. <br /> 2 An appointment for disposal must be made at least 24 hours in <br /> advance by calling Randy Thomas at 233-8810 between the hours <br /> RECEIVEDEC .of 7'00 AM and 9:00 AM, Monday through Friday. <br /> JUL 0 2 1990 Loads arriving without prior approval or appointment will be <br /> NVIRONMENTAL HEALTHre)ected. <br /> PERMIT/SERVICES <br /> 3 Approval for <br /> will be necessiis ary tolid for a period of reapply for acceptance. <br /> 4. <br /> After that <br /> 4, When calling with any questions regarding this Waste Form please <br /> refer to the Profile Number on the fust page. <br /> SUN-21—S0 THU 14 :69 RICHMOND SANITARY SERVICE P_ es <br /> PROFILE NO, <br /> WEST CONTRA COSTA SANITARY LANDFILL <br /> WASTE DISPOSAL REQUESTANFORMATIO(NFORRMM r <br /> 1. GENERATING FACILITY NAMEJADDRESS: S�w\ ol,—L <br /> 10131 +?gu. L kvmlz±,--s,`� cads CA <br /> 2. CONSULTANT(M arty1) 6ff t15 �da�Tt�4.1 4 <br /> Name, Telephone: <br /> 3. WASTE NAME: %m <br /> 4. ANTICIPATED VOLUME: SI' DELIVERY PERIOD-._a0 d-' - <br /> /+ Q' �day week,one-time Only) <br /> 5. TRANSPORTATION FIRM COOS 'f " tr8f1 <br /> e. TYPE OF TRANSPORT TRUCK: 10 Cy gfl Semlend 9 Double bottoms <br /> Single bottom U0 Drop boz ^'.`�'$ Individual Containers <br /> "" <br /> w. <br /> 7. METHOD OF PAYMENT Check U Cash U Charge Ln Purchase Order '' <br /> (Charge&PO must hayrlor WCCSL Accounting Department approval) <br /> Charge Account Name YV Purchase Order No.MIt -B'(DAT <br /> a. Description of Process and Circumstances Producing Waste: <br /> ------------- <br /> For WCCSL use ORIy al (JO <br /> FORM: ACCEPT:IN <br /> PEJEG/I�: N.Uf..Jon: ` <br /> P.nl.l Ej C.mpl.t.YJ ANlwrhod By: <br /> Fa2L�e'/ Expir.)len: a( QO <br /> nMr.: 2,0 6 Wes AND FEES <br /> Potentlelly Inwmpairrrble� Dhp...l Pot.: <br /> e R� <br /> No: Y. N-9 GooMVfal.l.F..; <br /> R.N.w.E by: deer R.o,VFees: <br /> 0.10: <br /> 9a\weato.rav <br /> 1 el 4 no,, fre <br />