Laserfiche WebLink
r <br /> 3 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> SHELL OIL PROIXJCTS 135 Atte: Ray E.Walding <br /> NAME <br /> P. 0. BOX 2648, TSP15OSA <br /> ADDRESS <br /> HOUSTON,TQC 1;262-2649 <br /> CITY,STATE,ZIP PHONE NO. (713 21-5036 <br /> [ <br /> 0 CONTAINERS: No, i VOLUME WEIGHT X450 Pds <br /> a <br /> cc <br /> zTYPE: [jTRUCK TANK ❑TRUCK DUMP ElDRUMS ❑ CARTONS ❑ OTHER <br /> W <br /> WASTE DESCRIPTION SOIL WICKME O1T GENERATING PROCESS <br /> i COMPONENTS OF WASTE PPM °/u COMPONENTS OF WASTE PPM % <br /> CIDf <br /> UJI <br /> 1. 5 <br /> F TliE REWFrNaD$A-.AM. WAS RECT'FVED HANDI.BD AND nORED POR SUBSEA C)M DECp �jnrj <br /> rW 2 01SPUSAI.,1•REATMIMCOR REU .L�IUSBY A nvuuTnu �f� ULI� A 7 2.Od:% <br /> INC-GPER*TES TI{E PAC�7ly� _ <br /> a �x.t7TF5GRAN'ED-['O3iI&M.RY-n0EPAffrhz,tfpFTOXFCSU$5TAN(mC+O,,vFA TYMER <br /> 1114 T1iFi FIJVIRi7NNif tifTf PRiJ1"[[C'f[(7N ACFti('Y IN ACCORDANCE7 WITH TFfF PRq[SION3 OF <br /> OGMEER <br /> ' , RE.SUL(R[,"E C'I:NSF 7t'r'A 11UT gAZl RrVt)v',gy ACT Clr 7026 TOGMER WFM <br /> 7 F <br /> Q 3. r':.�•. >, Ayl� S"i�.['tr PFC,['FA (?tt%q'?y �"� F <br /> F Cl�'ALL. N FIRS A1.L OF 711E NE(m-sSARY <br /> cAurx <br /> 'f:Y.tif['S lY3 a4;(;71'F I1iE 7Lt.t•I:;}:h('( u,1;{l A\Gl AF_� P� WA57E FIRS BF7-N HAIIIF.I7 1 IFI <br /> Lu 4. �cCca.,Fvt�r 8. r <br /> ? Q PROPERTIES: PH E3SOLID ❑ LIQUID ElSLUDGE ElSLURRY [1) OTHER SOIL <br /> HANDLING INSTRUCTIONS: 24 HOUR EMERGENC Y P'lOMe NUMBER fi3Q(!}424-WOO CHE TREE � <br /> iyl'�C3F'Il.l�fir""tAJa � ' <br /> 1 <br /> 1f1�CY <br /> t ?A7:Td RSQ4� Fh%xr R� 957!' <br /> 1 { TYPED OR PRINTED FULL NAME$SIGNATURE DATE <br /> 4 - �A�'v7L�TR.uCKusG - <br /> Q NAME i <br /> + r Lu <br /> M <br /> l <br /> IE ADDRESS SiTMt�Y SERVICE ORDER NO. 1 <br /> I " a WATSDNVTLLE CA 9-V76 <br /> CITY,STATE,ZIP PICK UP DATE <br /> Z <br /> PHONE NO. (408 )2104,566 <br /> # TRUCK,UNIT, I.D.NO, i Y TYPED OR PRINTED FULL NAME&SIGNATURE k DATE [ <br /> c , <br /> CROSBY AND011MYON,WC. <br /> I NAMEf4{lle l � <br /> li: � <br /> I 1630 W.l7il STl .t DISPOSAL METHOD { f <br /> ADDRESS ❑ LANDFILL ❑ OTHER <br /> J LANG BMCH CA 94813 <br /> Q CITY,STATE,ZIPLL <br /> a <br /> PHONE NO. 1562,, )432-5445 <br /> TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> I <br /> � GEN OLDlNEW L A TONS <br /> TRANS S B <br /> CJQ AT= HWDF NONE DISCREPANCY <br /> FI M a0est No, B004- <br /> Gr1042 j r <br /> RECEIVING SITE BENDS TO GENERATOR < ��' r <br />