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NON-HAZARDOUS WASTE DAYA FORM <br /> NAME UNOCAL Marketing - - EPA <br /> TD. <br /> P. 0. BOX 5155 No. <br /> ADDRESS <br /> Site:437 E. Miner Ave. , Stockton _ <br /> CITY.STATE.ZIP San Ramon Ca. 94583 (( Station /10187 PHONENO. (511), 2/7-2368 <br /> Ir C.P�.� O/"i/ WEIGHT <br /> O CONTAINERS:No.�Z/n VOLUME�.. <br /> Q <br /> i cc TANK x� DUMP <br /> W TRUCK TRUCK <br /> ❑ DRUMS CARTONS [3 OTHER <br /> ZTMPE <br /> ,,_Removal of underground <br /> LLI <br /> WASTE DESCRIPTIO <br /> (3 WASTE with Waste Oil GENERATING PROCESS tank <br /> } COMPONENTS OF WASTE PPM ro COMPONENTS OF WASTE PPM % <br /> m <br /> I- 99-Q s. <br /> i ,. W /. Soil <br /> F ^1 u <br /> Il J Waste Oil <0.1 a p �i3 <br /> 0. 2. <br /> rL i Li �X J T nn Ifpch Iv <br /> V a. 5 ; <br /> 1 LU s. <br /> m ° _ <br /> OPROPERTIES: NeAtral pSOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER . <br /> HANDLING INSTUCTIONS:- ��' Acceptance 14-1091 Stat `on #0187 <br /> THE GENERATOR CERTIFIES THAT <br /> 'I .THE WASTE AS DESCRIBED IS 100% y' <br /> f NON-HAZARDOUS. - /— <br /> TYPED OR PRINTED FULL NAME&SIGNATUREPA <br /> DATE <br /> Dillard Trucking, Inc. ED, CAD 9 8 1 6 9 11 2 8 0 9 <br /> w NAME _ NO. <br /> W 143/93 <br /> ~ <br /> ADDRESS P. O. BOX 218 ; SERVICE ORDER NO. <br /> � <br /> CL Byron, California 94514 ' <br /> PICK UP DATE <br /> N CITY.STATE.ZIP <br /> Z <br /> Q _ <br /> PHONENO. 110 b34-6850 f <br /> ~ f ' TYPED OR PRINTED F LL NAME 8 SIGNATURE DATE <br /> TRUCK UNIT,I.D.NO. <br /> EPA <br /> Laidlaw Environmental Services, Inc. No CIA P p Q 61 71 61 <br /> NAME DISPOSAL METHOD f <br /> ADDRESS- 2500 Lokern Road LANDFILL ❑ OTHER ff <br /> j Buttongillom, California 93206-0787 <br /> V CITY,STATE,ZIP <br /> IL .PHONE NO. 800 544-7199 B <br /> y„ TYPED OR PRINTED FULL NAME 8 SIGNATURE DATE <br /> EHE <br /> GEN OLD/NEW L A JDLS L� <br /> Ll <br /> TRANS S B <br /> tigogo <br /> C/O RT/CD HWDF NONE DISCREPANCY <br /> i <br />