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-----•.- NON- HA ARDOUS WASTE DATA FORM <br /> NAME UNOCAL Marketing <br /> EPA <br /> P. O. Bos 5155 ID. C A 0 8 2 0 . i 3 <br /> ,ADDRESS NO. <br /> 17 <br /> Site:437 E. Miner Ave. , Stockton <br /> CITY.STATE,ZIP San Ramon Ca. 94583 Station #0187 PHONENO. 15301277-2368 <br /> O CONTAINERS:No ! VOLUME - / ` WEIGHT <br /> Q <br /> 2 <br /> TANK T�T DUMP <br /> W <br /> Z TYPE; El TRUCK XJt TRUCK ❑ DRUMS El CARTONS ❑ OTHER <br /> W Removal of underground <br /> a WASTE DESCRIPTIONS2" with Waste Oil GENERATING PROCESS tank <br /> mCOMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> W t. Soil 94.9 s. - <br /> LU Waste Oil <0.1 a <br /> 2. <br /> APR Q 8 1-1 <br /> 7. <br /> } W <br /> tJ <br /> CD 4. <br /> ' 1 <br /> yF PROPERTIES: Neutral rat X9SOLID ❑ LIQUID El SLUDGE ❑ SLURRY ❑ OTHER <br /> 9 HANDLING INSTUCTIONS: X`�' Acceptance M-1091 Station #018/ <br /> y <br /> THE GENERATOR CERTIFIES THAT / n p /J <br /> THE WASTE AS.DESCRIBED (j •AGI I �\ <br /> NON-HAZARDOUS. K 1(� �'�A!/ ID �"�r� i �`il�•N�'V.liGs � �- <br /> TV'ED OR PRINTED FULL NAME 8 SIGNATURE DATE <br /> Dillard Trucking, Inc. - ED. C A D 9 8 1 6 9 2 8 0 9 <br /> NAME NO' <br /> '. W .. <br /> F- P. ' 0. Box- 218143/93 <br /> w ADDRESS SERVICE ORDER NO. <br /> a Byron, California 94514 <br /> w CIT'.STATE.ZIP PICK UP DATE <br /> Z <br /> C <br /> PHONENO. 410 634-6850 t <br /> TRUCK UNIT.I.D.N TYPED OP PRINTED FULL NAME 8 SIGNATURE DATE <br /> EPA <br /> Laidlaw Environmental Services, Inc. NO. C A 7 6 <br /> NAME <br /> DISPOSAL METHOD <br /> ADDRESS 2500 Lokern.Road LANDFILL. ❑ OTHER <br /> J Buttonwillow, California 9 6-0787 <br /> V CITY,STATE,ZIP <br /> ' LL PHONENO.'800 544-7194 <br /> _ TYPED OR PRINTED FULL NAME 8 SIGNATURE DATE <br /> ,GEN OLD/NEW L '' AL- // <br /> • .TRANS S B 7 4 b Q <br /> C/O RT/CD HWDF NONE DISCREPANCY <br /> i <br /> N + <br />