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GRANITE CONSTRUCTION 2038357638 cl 4/.2 01:03pm P. 002 <br /> ..,....,.v • cv7 +p t ecus; JUN•24• 22; PACE 2/3 <br /> i <br /> C,AC <br /> GENERATOR WASTE 1P 4 - r S ETC <br /> Pm <br /> waste Fitc� <br /> God i>lepoatJ pecdtity: t-•1� A <br /> on AMkd ®y <br /> L GF TOR MFORMATION Dasa fo 2 N v',Z <br /> C==mtor Kamo• (-)r'A A-'f t- <br /> densintoc Sete A vp5 Q g 3. �i.+,.c.. �`1,t rt <br /> qty= <br /> ochrautot State ID NO: SIC Code No: 2- <br /> Qenctalar titall3n�A�dcx's�c(if diffot�tr �a. L�O)C. /�J• <br /> Genaratos Com w Name: Duo e–,Jz,e'I.C7 <br /> rbom mumuor.. 20 i. 9F.?. 7/6. eke. tb, Pat;Naniba: 2D9. S"35. <br /> K1. THANSPORM DWORMA..TION <br /> TTwuporter Natne: YA Z T�to t lee r1 <br /> 7fsospcsu Addiwr y V iD E. 'e r Rd. <br /> Cft : ® coum: Ts: C zi : 17 7-0 <br /> ?r"m"cte QG%x c N&w: PgL e.t/ F. VAZ cr ea.G <br /> PAancNamhcr: 2 . 33'd. $00® /70,37$ <br /> M. WAS=STREAM INFORMATION <br /> Naim of WkIW: Zurn tl+-I. <br /> howl as"oom wAft� and '11 burn e n <br /> ofwuta: INDUST MLPROCBSSWASTE of POLLUTTON CONTROL WASTS <br /> Physical swo: SOLID SMU-SOLID POWDER Lt Um OTHER: ll -t bdfldS <br /> MOW of Shd tnt. RULK DRUM BAGM QTITPR/LXPt.AM ruC.k <br /> Mall tttttcd Aanttaf Yohrtnc CUBIC YARDS.-2,5— TONS: OTHBR: <br /> OCdt3 T i2+ifi t?NI,Y DAILY %VEM3,.X MONTHLY OTIMR/EI MA I1. <br /> SPBOAL HANDLING INSTRUCTIONS: ! <br /> XV. IMPME'NTA WE SAMPLE CERTMCATION <br /> to ft ltpt=Aftdv4 sample t c4lartad to prepare Ma profile ad tabotatM walysis,crMected da acrotdMCa <br /> MO V.S.EPA i 40CM 261.Wc)gnldalina nr"lvalcat rules? i'sS NQ <br /> i Sganple Date: (p a l Q COO-acre 05' ' Cit AB SAD�iPLE <br /> c <br /> San kes omployor. K I e.i ti t "1J et' 1100, <br /> Slcst3tlQcat3araofprl�»�; [_..®it c`3r'h.s'E"�i a�trc: " <br /> i <br />