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r 3 �)q <br /> 7630 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> NAME UNOCAL Marketing <br /> EPA <br /> P. 0. Box 5155 I.D. C A 0 9 8 ' 0 4 ; 3 T 8 <br /> ADDRESS NO <br /> Site:437 E. Miner Ave. , Stockton <br /> CITY.STATE.ZIP San Ramon, Ca. 94583 Station #0187 PHONENO 1510 277-2368 <br /> O CONTAINERS:No. O D $3 L VOLUME WEIGHT <br /> F_ <br /> Q <br /> K <br /> W TANK IIS�II DUMP <br /> Z TYPE: ❑ TRUCK 1(g(� TRUCK ❑ DRUMS ❑ CARTONS ❑ OTHER _ <br /> Removal of underground <br /> w <br /> (9 $ofl with Waste Oil tank <br /> WASTE DESCRIPTION GENERATING PROCESS <br /> ED <br /> COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> 0LLJSoil 99.9 s <br /> W ' Waste Oil - <0.1 ,� ,:u.:a W,Yq� �s:a �:;:• ' <br /> -1 2 s. nnn D t'i• <br /> a <br /> Debris <0.1 _.;,-..- -r-•.1 L,>_;�i_T'F1 <br /> O a. T <br /> U <br /> W <br /> CD e. <br /> d. <br /> OPROPERTIES: Neutral .[7SOLID ❑ LIQUID 1:1 SLUDGE 1:1 SLURRY C3 OTHER <br /> HANDLING INSTUCTIONS: 7cR Acceptance M-1125 Station #0187 <br /> rO p- VIIau� <br /> THE GENERATOR CERTIFIES THAT I •� / q <br /> ?sl THE WASTE DESCRIBED IS 100% 4C - hA �\ ,�J Z3•/ <br /> NON-HAZARDOUS. �c•• /) I '03 I IIO <br /> ,ITYPED OR PRINTED FULL NAME 8 SIGNATURE DATE <br /> Dillard Trucking, <br /> Inc <br /> Dillard C' A D 9 8 1 6 9 2 8 0 9 <br /> �I Cr NAME NO. <br /> F_ I P. O. Box 218 143/22 <br /> CC ADDRESS SERVICE ORDER NO. <br /> d Byron, California 94514 <br /> N fS�CITU,STATE,ZIP PICK UP DATE / - 1 <br /> 2 <br /> Q <br /> PHONENO. (510 )634-6850 <br /> TRUCK UNIT.I.D.NO. TYPED OP PRINTED FULL NAME 8 itIGNATRE DATE <br /> Laidlaw Environmental Services, Inc. EDA I CAD 9 8 0 6 7 5 2 7 6 <br /> NAME NO. <br /> DISPOSAL METHOD <br /> 2500 Lokern Road <br /> F ADDRESS LANDFILL ❑ OTHER <br /> Buttonwillow, California 93206-0787 <br /> V CITY.STATE,ZIP <br /> LL 800 544-7199 <br /> Q PHONE NO. AIA2V-Zle' - 13_ 52 <br /> -gs:lf -7 aoz,_ z/1' <br /> G <br /> (- TYPED OR PRINTED FULL NAME 6 SIGNATOR DATE <br /> GEN OLD/NEW L A � <br /> TRAOr <br /> NS S B L <br /> Bio RTJCD HWDF NONE DISCREPANCY <br /> g • �s' <br /> P •9. <br />