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"UUJ <br /> NO. 931094 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> EPA + �i !";�• Y <br /> 10 <br /> No i <br /> Southland Corporation Site: ,-13 <br /> 19033 W. Va i l ey Bou 1 evard <br /> i <br /> f 1� <br /> AGGRESS—._SAJ I t r #D}1 fl / <br /> Kent, WA 98032 sem _ <br /> a PHONE N4 <br /> CRY STATE ZIP <br /> :ZTA <br /> INERS No Z VOLUME �� S wEIONT <br /> TYPE RUCK ❑ DTRUCKUMP ❑ CARTONS E3OTHER <br /> WAIM ATFR <br /> GENERATING PROCESS <br /> WASTE F5 PpM 99-1'6COMPONENTS OF WASTE PPM �b <br /> Uffifft 0 <br /> s <br /> � Ti"11 c 1 <br /> e <br /> s <br /> PRoPERT1Es a+— ❑ SOLIoLIOUID ❑ SLUDGE ❑ SLURRY ❑ oTTiER <br /> Wear appropriate protective clothing <br /> HANDLING INSTRucT1ONS <br /> THE GENERATOR CERTIFIES THAT THE Ig 7 6 <br /> WASTE AS DESCRIBED IS 10044 <br /> NON4iAZARDOUS DATE <br /> TYPED OR(MINTED FULL NAME 5 SIGNATURE <br /> Nicto & Sons LD <br /> OA l <br /> MME <br /> 1281 Brea Cyu. Road <br /> SERVICE ORDER NO <br /> ADDRESS <br /> Brea. CA 92621 <br /> PICK UP LATE <br /> CITY,STATE.ZIP <br /> 714-990-6855 <br /> PHONE NO "W S:Vl l 6 . !L 0 1 <br /> bATO <br /> TYPED OA PRINTED FULL NAME L SONATURE <br /> UNIT IM NO <br /> EPA <br /> DeNemo Kerdoon NO <br /> HAM 'MN=rN06X METHOO <br /> 2000 N. Alameda St. <br /> .' ❑ LANDFe l OTHER <br /> ADDRESS <br /> Coupton, CA 90222 e <br /> CRY.STATE.ZIP <br /> 310-537-7100 <br /> PHONE NO <br /> TYPEo OR PRDnW FULL NAWE i SIGNATURE <br /> DATE <br /> OEN OLDMEW L A TONS <br /> TRANS S $ <br /> R ACD K" NONE <br /> r�o OIBCREPANCY <br />