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92276 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> SHELL PIPELINE COMPANY LP Alin: SHERELL H IDT <br /> NAME <br /> P. O. BOX 2640,TSP I606 <br /> ADDRESS <br /> HOUSTON, TX 77252-264 <br /> CITY,STATE,ZIP PHONE N0. (7 i 3 )Z41-5036 <br /> 1 10 Cubic Yards <br /> CONTAINERS: No. VOLUME WEIGHT <br /> a <br /> m <br /> UJ Z TYPE: ❑ TRUCK El DUMP RUCK 13 DRUMS E] CARTONS OTHERy <br /> W SOIL,WICRME OIL(� WASTE DESCRIPTIONSOIL, <br /> PROCESS <br /> } COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM /o <br /> W <br /> W2 6 <br /> _j - _ <br /> a <br /> 0 9 7 <br /> V <br /> W 4. 8. <br /> Im <br /> 0 PROPERTIES: PH ❑ SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY 1!1 OTHER SOIL <br /> pNANDLING INSTRUCTIONS: 24 HOUR EMERGENCY PHONE NUMBER(8130)424-1101 CHEMTREC <br /> ucilLty: _ ".. .. . <br /> RkCY 21W SSR7I17ia' <br /> 5703 rxrrnPSON 7MSv RCAQ ��M 1�. G Ut-�4. l ,J c, <br /> pAr" , ch nXTIS <br /> TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> F3AYVIEW TRUCKING <br /> NAME <br /> W <br /> 1040 SUI,IIMI T ROS <br /> 0 ADDRESS SERVICE ORDER NO. <br /> a WAT90N 'ILLS GA 91076 <br /> Z •n '•CITY,STATE,ZIP — "•' PICK UP DATE'' �.R. <br /> 408 21 04W <br /> PHONE NO. <br /> TRUCK,UNIT,LD.NO. TYPED O RINTED FULL NAME :51GNATURE DATE+ <br /> FORWARD LANDFILL <br /> NAME.': larAf a ld: 7910 <br /> 9994 SOUTH AUSTIN ROAD DISPOSAL METHOD <br /> � <br /> ADDRESS ❑ LANDFILL ❑ OTHER <br /> J 14AN11CA r;A 93J3� <br /> V CITY,STATE,ZIP <br /> L3. PHONE NO. (209 9$`-42923 <br /> ✓D <br /> F— TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> GEN OLD/NEW L A TONS <br /> TRANS S B <br /> C/Q RT/CD HWDF NONE DISCREPANCY <br /> MErii est No: 73198 <br /> 7319$ GENERATOR'S PRELIMINARY COPY <br />