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s <br /> NON-HAZARDOUS WASTE DATA FORM $7748 <br /> NAME HP WEST C-O--A ST OR-0-01{/'TC 1-9—C <br /> ADDRESS P-()- e,Qx 80748 <br /> CITY,STATE,ZIP RANCHO SANTA MARiGAREEX CA192688 PHONE NO. 8W 272-6349 <br /> cc <br /> I 1 <br /> Q CONTAINERS: No. VOLUME WEIGHT — <br /> alsQ <br /> TANK DUMP <br /> W TYPE: ❑ TRUCK El TRUCK ❑ DRUMS ❑ CARTONS ❑ OTHER <br /> Z <br /> W <br /> (3 WASTE DESCRIPTIONGENERATING PROCESS <br /> >- COMPONENTS=T <br /> P % COMPONENT S <br /> m <br /> °W '• FmEReukgs _ 5. <br /> ift <br /> W 2 s. <br /> J <br /> CL <br /> O 3 7. <br /> V <br /> W 4. 8. <br /> m <br /> Q PROPERTIES: pH 4 SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> HANDLING INSTRUCTIONS: <br /> AVOID EYE CONTACT&VvEAR RU88ER GLOVES <br /> Fam'ity. CONTRACTOR: GETTLER•RYAN,INC. <br /> BP f T COAST PRODUCTS LLC Nt ro�1 <br /> 812�r <br /> _ B LOUISCIA}i A MUS TYp D OR PRINTED FULL NAME rdIGNAl URE DATE <br /> CC NAME ADAMS SERVICES,INC. <br /> W <br /> OADDRESS 4361.ALCENDRA BLVD. SERVICE ORDER NO. <br /> (L <br /> Z CITY,STATE,ZIP GARMA CA 9012.68-290r PICK UP DATE <br /> Q <br /> H PHONE NO. 13 IO) 523=4430 <br /> TRUCK,UNIT,I.D.NO. 6PD OR PRINTED FULL NAME& NATURE DATE <br /> NAME yASCO ROAD LANI}FLi L Profile td. <br /> DISPOSAL METHOD <br /> ADDRESS 400171,V SCO ROAD ❑ LANDFILL ❑ OTHER <br /> J <br /> CITY,STATE,ZIP LIVERMORE CA 94351 <br /> V <br /> PHONE NO. ( 92$) 447-4491 <br /> TY0ED'0frPRl`NTtD FULONAMP9 fthhrURE DATE <br /> GEN OLD/NEW L A TONS <br /> TRANS S B <br /> C/Q RT/CD HWDF NONE DISCREPANCY <br /> Manifest Na:97748 <br /> 00002 TRANSPORTER'S COPY <br />