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} l <br /> • _ •' ' 7 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> NAME UNOCAL Marketing <br /> EPA <br /> P. C. Cox 5153 LD. C A D 9 8 2 0 g i 3 7 <br /> ADDRESS NO <br /> Site:437 E. Miner Ave. , Stockton <br /> CITY.STATE.ZIP San Ramon. Ca. 94583 Station 110187 PHONE No. 1510, 277-2368 <br /> CONTAINERS:No1060/0 VOLUME 16 Y WEIGHT <br /> H <br /> Q <br /> W TANK I''I DUMP <br /> Z TYPE: ❑ TRUCK Ii4' TRUCK ElDRUMS 11CARTONS ❑ OTHER <br /> W Removal of underground <br /> WASTEDESCRIPTIONS Oil With Waste Oil GENERATING PROCESS tank <br /> mCOMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> UJI0 <br /> I F 1. Soil 99.9 s . <br /> W Waste Oil <0.1 <br /> It <br /> z. e. <br /> '^ <br /> 0 APP 0 9 <br /> 0 3. 7. <br /> Wa <br /> M4. - ..:. <br /> I- PROPERTIES: N,Htral QSOL,D ❑ LIQUID ❑ SLUDGE C3 SLURRY ❑ OTHER <br /> j�f i <br /> HANDLING INSTACTIONS: Acceptance M-1091 Station 00187 <br /> I / _ <br /> �. THE GENERATOR CERTIFIES THAT - <br /> THE WASTE AS DESCRIBED IS 100% �.< l/'�/'t)r j.•wUf��' s.,� . /E«'� tj4'&,I,•e,�t.� <br /> ' 2 <br /> NON-HAZARDOUS. <br /> TYPED OR PRINTED FULL NAME A SIGNATURE N DATE <br /> Dillard Trucking, Inc. epCAD 9 8 1 '6 9 2 8 0 9 <br /> cc NAME NO. I <br /> LU <br /> ~ P. 0. 'Box 218 143/93 <br /> ADDRESS SERVICE ORDER NO. <br /> IL Byron, California 94514 Z q2 <br /> p <br /> W CITY.STATE,ZIP PICK UP DATE /7 -'S <br /> Z <br /> Q <br /> I <br /> PHONE No. 6101634-6850 41 1^ )�,� <br /> U <br /> TRUCK UNIT,I.D.NO. / TYPED OP PRINTED FULL NAME 8 GNATU IE DATE <br /> Laidlaw Environmental Services, Inc. Eo CAD 9 8 _1775 <br /> NAME NO. I I I r I rI <br /> DISPOSAL METHOD <br /> ADDRESS 2500 Lokern Road LANDFILL ❑ OTHER <br /> J Buttonwillow, California 93206-0787 - <br /> V CITY,STATE,ZIP <br /> G800 544-:199 �r{kN (IRI A / - -q2 <br /> PHONE NO. 1 d /tel tri <br /> U) �-� <br /> F TYPED OR PRINTED FULL NAME 8 SIGNATURE DATE <br /> Il GEN OLD/NEW L A we <br /> i' TRANS S B k6 b0 <br /> C/o RT/CD HWDF NONE DISCREPANCY <br /> i <br /> I' <br /> I', <br />