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STURGEON !* SON, INC. >>'f -,zr .'984 <br /> Transportation Services 'T <br /> (805)322-4408 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> NAME ACKESSONS 7IvT�_3UT i il� <br /> EPA 1yn� <br /> ADDRESS ��' ,• ''Z1 jyp :',I n ++./ <br /> C 10101'r 1 0 I 2 I3 10 <br /> CITY STATE ZIP )5376 PHONE NO (9 6) 37'-4660 <br /> a I CONTAINERS No VOLUMF WEIGHT <br /> OI <br /> Q TYPE TANK ,�yy.�,, DUMP <br /> 4' ' <br /> i TRUCK IqI TRUCK ❑ (}RUMS ❑ CARTONS ❑ OTHER <br /> UJI <br /> Lu WASTE DESCRIPTION TPH CONT, SOI GENERATING PROCESSUNDERGROUNDL <br /> C7 <br /> m I { <br /> C I COMPONENTS OF WASTE ?PM °Jo COMPONENTS OF WASTE PPM <br /> Lu <br /> Lu , s <br /> aI <br /> v I z 6 <br /> LL, > > <br /> Im <br /> 0 a 8 <br /> PROPERTIES pH la SOLID ❑ LIOUrO ❑ SLUDGE. Cl SLURRY ❑ OTHER <br /> HANDLING INSTRUCTIONS <br /> THE GENERATOR CERTIFIES THAT f <br /> THE WASTE AS DESCRIBED IS 100% rj,4 L01A C <br /> NON HAZARDOUS S {' rr4�/d✓)F _ 'f^--+ ,C <br /> TYPED OR PRINTED FULL NAME d SIGNATURE �F-D=—ATE <br /> EPA <br /> Ix NAME f e, NO ID 14 1'9 11 1-412 7I 7122 <br /> WI Q <br /> QI ADDRESS Z <br /> SERVICE ORDER NO <br /> Q <br /> ll� CITU STATE ZIP PICK UP OATS <br /> Q <br /> PHONE NO 7," (� <br /> I <br /> TRUCK UNIT 10 NO STYPED OR PRINTED FULL NAME 8 SfdNATURE <br /> DATE <br /> EPA <br /> NAME GIBBON ENVIRONMENTAL 10 <br /> NO [,Cl 019 0 1 018 18 P j 17 7 <br /> DISPOSAL METHOD <br /> ADDRESS EMD OF COMMERCIAL DRIVE C LANonu. ❑OTHER <br /> ~ <br /> ,,j CITY STATE 21P 8AKERSFIELD CA 93308 <br /> U <br /> Q PHONENO 405) 323-2173 <br /> U. <br /> 0 <br /> TYPED OR PRINTED FULL NAME 8 SIGNATURE DATE <br /> GEN OLEVNEW L A TONS <br /> TRANS S g <br /> c/o �� "'r°�kcm DISCREPANCY <br /> 727-)86- <br />