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STURGEON Ir SON, INC. �_, ,c _ , ��e4 10 <br /> Transportation Services <br /> (805) 322-4408 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> NAME "C"rmQNS 71STRI€ UTTI:r <br /> EPAJ0 <br /> aDaaess 41 1 � :NOUSTRIAL 4AY vo ! ;I A I" 1^ 0 l n 15 15 Il 1 ) I� 10 ! <br /> -,T/ STATE ZIP RACY, CA 95376 _ PHONE NO (915) 372-46GO <br /> S CONTAINERS No VOLUME WEIGHT <br /> TANK Q P <br /> 'vPE Cl❑ TRUCK ggkTUC <br /> ( 11 DRUMS ❑ CARTONS ❑ OTHER <br /> W <br /> HASTE DESCRIPTION TpN CONT 501E GENERATING PROCESS UNDERGROUND TANKS <br /> � 1 <br /> � COMPONENTS OF WASTE PPM z'o COMPONENTS OF WASTE PPM °lv <br /> W <br /> � � 5 <br /> J L <br /> O I $ <br /> U <br /> w <br /> 0 <br /> O ! , e <br /> � I <br /> PROPERTIES PH I SOLID Cl LIOUID ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> i <br /> HANDLING INSTRUCTIONS <br /> THE GENERATOR CERTIFIES THAT �jLs J,C ` <br /> THE WASTE AS DESCRIBED IS 100% <br /> NONHAZARDOUS I ! , „♦P f-++�1�^�11�* 1 Ltry,-_-- �7�r7 <br /> TYPED OR PRINTED FULL NAMES SIGNATURE DINE <br /> EPA <br /> l IA10191�' 131SIGI� la17f2NAMENa <br /> W <br /> cr ADDRESS �3G uy/ SERVICE ORDER NO <br /> CL <br /> O J `, <br /> ZI CITY STATE ZIP / d f 1 u PICK UP DATE <br /> a , <br /> 1I- PHONE NO f e <br /> TRUCK UNIT 1 D NO 0*?- D 8 7 04 TYPeb OR PRINTED FULL NAMES SIGhM(TUAE DATE <br /> NAME aIBSDN ENYIRDNMEHTAL ;,� ClA!C 19 P3 18 8 7 17 <br /> DISPOSAL METHOD <br /> ADDRESS _ENO OF COMMERCIAL DRIVE, _ - - ❑ LANOFILL ❑ OTHER <br /> J CITY STATE ZIP BAKERSFIELD, CA 93308 <br /> 3 1 PHONE NO 1 805 323-21.78 <br /> of <br /> Vl <br /> h <br /> TYPED OA PRINTED FULL NAME A SIGNATURE DATE <br /> GEN OLD/NEW L A TONS <br /> TRANS S IS <br /> GO RTO ~brow mc"l DISCREPANCY <br /> 3217-M- <br />