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D i2I"10 85008 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> SHELL PIPELINE COMPANY LFA Attn: SHERELL I-IF-IDT <br /> NAME <br /> P. O, BOX 2648,TSP 1605A <br /> ADDRESS <br /> HOUSTON,TX 77252-264 <br /> CITY,STATE,zrP PHONE Na. t7 13 -241-5036 <br /> O CONTAINERS:No.� <br /> VOLUME WEIGHT =0 Paul ids <br /> WZIr TYPE: ❑ TRUCK ❑RUCK ® DRUMS ❑ CARTONS ❑ OTHER <br /> W <br /> WASTE DESCRIPTION l,'f DEBRTS GENERATING PROCESS <br /> mCOMPONENTS OF WASTE PAM % COMPONENTS OF WASTE PPM % <br /> G l I,ItexERJ;NcEb Wt MT <br /> W 1 �IPU7AL,17tMIM WI OR RMS6 LRUSSY p��ON.IY �sS EQUM <br /> W I -flMtfJ&(A,YfpblvlltKts.iYlHkilNVARTAt�VERT N'' CSUBSTA OPERATES <br /> rtyVNDPR <br /> J iL�I i31@ FhylAo 1atr;YPAI ramar;jolr � ,r��rw w i L Toaraa-rt(6. <br /> IL ��U CONJOWA11ON AND RECT)VF,StY ACT OP 1974 TOGS U7j WnTllE NOAV1'F�[�ICABCP <br /> AmKAL AND STATS ItQCULAiIONS, CROSBY L pYt•]('11ON HAS ALL OF 7M NECESSARY7. <br /> S TO ACQ!PT "T S7Y-AND A SVA — HANDLED <br /> �. <br /> V <br /> 1<LI 4. 8. <br /> m <br /> O PROPERTIES: pH © SOLID Cl LIQUID. ❑ SLUDGE ❑ SLURRY . ❑ OTHER <br /> H <br /> HANDLING INSTRUCTIONS: 24 HOUR EMERGENCY PHONE NUMBER 0600)424.9301 CHBATKEG <br /> r <br /> s.kcr• rur{r srsrx�ac Lj �'" Z�� <br /> ,'.3T�5 SATISPSC3J 6'.kS: i�L1�¢ " <br /> Parr ca Y!ME TYPED OR PRINTED FULL NAME>S IGNATURE DATE <br /> NAME RAYVIEW TRUCKING <br /> W <br /> 1040 Llf- I i ROAD� ADDRESS SERVICE ORDER NO. <br /> O. 7.rA5EOIVILL. CA 95076 <br /> (A CITY,STATE,ZIP PICK UP DATE <br /> Z <br /> PHONE NO. (40`8' )21 0'4M-5, /�✓ (� <br /> TRUCK,UNIT,I.D.NO. 6 TYPED OR PRINTED FULI 416NAYU E DATE <br /> CMiBY ANDf)lTr�FtlC)l1,R11- <br /> NAME Profile Id, 7002 <br /> 1636 IBJ.l;iH:-iK>tE DISPOSAL METHOD <br /> ADDRESS Cl LANDFILL O OTHER <br /> Ln-IILGMACH IsA 0,N)3 <br /> (� CITY,STATE,ZIP <br /> a <br /> QPHONE NO. 662 0(0102- (09 <br /> H <br /> TYPED OR PRINTED FULL NAMr&SIGNATURE DATE <br /> GEN OLD/NEW L A TONS <br /> TRANS S 8 <br /> c/o RTICD HWDF NONE DISCREPANCY <br /> hiadegs No: 77741 r <br /> 717141 v �oq <br /> RECEIVING SITE COPY I"` <br />