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N1.1630 <br /> NOWHAZARDOUS 'WASTE DATA FORM <br /> 240099 <br /> Generator's Name and Melling Address' Generator's Site Addreae(If different than mailing address) <br /> _t_EL.E VEN, )NC;. T-EL.EVEiN 17334 <br /> P.O. no ((30111 4601 N. PE#�SHINGti AVE <br /> RANCHO.SANI'A MARGARITA, CA 92008 STOC:KTON,CA.06207 <br /> Generator's Phone: { .•2 i <br /> Container type removed from site: Container type transported to receiving facility: <br /> 4+ Drums Q Vacuum Truck ❑ Roll-off Truck ❑ Dump Truck ❑ Drums X)Q Vacuum Truck ❑ Roll-off Truck •❑ Dump Truck <br /> C) other ❑ Other <br /> OQuantity Quantity Volume <br /> W WASTE DESCRIPTION NON-I-&,,i�.f DOUS WATERGENERATING PROCESS W�L,L PURQ'ING i m-CON WATER <br /> W COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> 0 WATER 0 9. <br /> 2. 'rPH <1% 4. <br /> a .f <br /> i Waste Profile PROPERTIES; pH 7..40 ❑-SOLID}•:LIQUID SWDGE t❑ SLURRY ❑ OTHER <br /> HANDLING INSTRUCTIONS:t <br /> Generator Pdpted/rypedName Signature Month Day Year <br /> -'Sl on behalf of 00he C, <br /> L,,arr�Moothart of BE, or <br /> The,Generator certifies that the tvaste as described)s 100%non•hazaidous �^ <br /> Transporter 1 Company Name Phone# <br /> OEI..SHIRE. . ' 949-466-520() <br /> LU , Transporter 1 Printed/ryped Name ` Signature Month Day' Year <br /> '�K A , <br /> e A leg t o atedala <br /> (1) Transporter 2p3lnpany Name Phone# <br /> NIETO&8ON S,mLjC-KING,, INC. .6'. <br /> Trensporter2Prints d/typed wema Slgnature Y Month Day Year <br /> Transporter•AcknovAedgment of Receipt of Matadals <br /> Designated Fadlity Name and Site Address �. Phone# <br /> DEMENNO KI-P%DQON X10 5'37.71L10 <br /> 2000 N.AL.AMEDA S'T. <br /> tQ COMPTON, CA 00222 <br /> Z <br /> LU Printed/ryped Name Signature Month Day Year <br /> W <br /> QVW. ��i ` l• ��. <br /> Designs d ac I ner or operator:Car location receipt of rgatedals covered by s ata fD ' <br />