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STURGEON sw SON. INC. �ELZASL "13SZ4 <br /> Transportation Services <br /> (805) 322-4408 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> NAME ACYEZSCNS 3ISTTZlBUT,`?G <br /> EPA <br /> ADDRESS 4110 ►NDUSTfc I Z SAY 'OIC I Cl I f Q 10 Ib I ---19 12 2 D <br /> CITY STATE ZIP LACY CA 35375 PHONE NO {4151 37^-46DD <br /> CONTAINERS No VOLUME WEIGHT <br /> — <br /> 0 <br /> TANK DUMP <br /> cc <br /> TYPE ❑ TRUCK "TRUCK ❑ DRUMS ❑ CARTONS ❑ OTHER 5 <br /> zl <br /> � <br /> I WASTE DESCRIPTION TP" CONT. SOIL GENERATING PROCESS UNDERGROUND TANKS <br /> m G COMPONENTS OF WASTE PPM ao COMPONENTS OF WASTE PPM °4 <br /> Cl <br /> WI <br /> W <br /> s <br /> W I > > <br /> 0 6 a <br /> PROPERTIES off LJ SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> HANDLING INSTRUCTIONS <br /> THE GENERATOR CERTIFIES THAT <br /> THE WASTE AS DESCRIBED IS 10016 r <br /> NON-HAZARDOUS .4x <br /> TYPED OR PRINTED FULL NAME A SIGNATURE DATE — <br /> ----- r EPA ] f <br /> CC I NAME .i n ^ �+a I �' NO ! C f 1 , 17 <br /> W I _ <br /> � IADDRESS I .J Q J <br /> SERVICE ORDER NO <br /> 04 <br /> CITY STATE ZIPl��Q Ly yI,1 C Li'reC^ A L.` Q PICK UP DATE <br /> Zi <br /> PHONE NO <br /> TRUCK UNIT 10 NO TYPED OR PRINTED FULL NAMM-SIGNATURE DATE <br /> r EFA <br /> GIBS01 ENVIRONMENTAL f� 91810 <br /> NAME � CAO g1 8 0 18 1311 7 <br /> DISPOSAL METHOD <br /> ADDRESS END 00 COMMERCIAL DRIVE Q LANDFILL ❑ OTHER <br /> H <br /> CITY STATE.ZIP BAKERSFIELQ, CA 93308 <br /> U. PHONE NO { <br /> 8 323-2178 <br /> d <br /> N <br /> TYPED OR PRINTED FULL NAME A SIGNATURE DATE <br /> GEN OLD/NEW L A TONS <br /> TRANS $ $ <br /> GO wvtp ►wror�ro�Ie DISCREPANCY <br />