Laserfiche WebLink
` . NON-HAZARDOUS WASTE DATA FORM <br /> 92275 <br /> L�1:1 Lill <br /> SHELL PIPELINE COMPANY LP r Attn: SHERIELL HE& <br /> NAME <br /> P. 0. BOX 2648,TSP '1605A i 1�l.: � � �i1 f18 <br /> ADDRESS (i{'n r i <br /> HOUSTON TK 77262-2 E�Jv 1,..>'1"- ,f i��L Ei <br /> CITY,STATE,ZIP t PHONE NO. (71- )241" �WRL"i i "��I'VICES <br /> O ` <br /> CONTAINERS: No. VOLUME 10 Cubic Yards WEIGHT <br /> a <br /> cc TANK UMP <br /> W TYPE: ❑ TRUCK DRUCK ❑ DRUMS ElCARTONS f] OTHER BIN <br /> Z <br /> W S01-1,INYCRUDE OM0 WASTE DESCRIPTION GENERATING PROCESS <br /> >- COMPONENTS OF WASTE PPM /, COMPONENTS OF WASTE PPM % <br /> Co4�--..�• y...--. - s <br /> W s. <br /> W 2, s. <br /> J -- <br /> CL <br /> M 3. 7. <br /> 0 <br /> W 4. $• <br /> 0 PROPERTIES: pH ❑ SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY ] OTHERSO'L <br /> HANDLING INSTRUCTIONS: 24 HOUR EMERGENCY PHONE NUM13ER(800)424-9500 CHEMTRE'C <br /> netltty: "R <br /> vary pma STATZOH � <br /> {�►j� { ) ) <br /> 21709 YXITS MSON PASS ROAD -S4k••W""' `y �� � �` +� J `� . <br /> TYPED OR PRINTED FULL NAMIt&SIGNATURE �+ '^w --- DATE <br /> W-YVJEW TRUCKING <br /> W NAME <br /> 1090 SFJI+WIT ROAD <br /> 0 ADDRESS SERVICE ORDER NO. <br /> 4. WATSONVILLE CA 93076 <br /> U) CITY,STATE,ZIP _ - - a. PICK UP DATE <br /> Z <br /> a T4s )210-4666 <br /> CC PHONE NO. <br /> TRUCK,UNIT,I.D.NO. �ft;G' �� l TYPED OR PR NTED FULL NAME&SIGNATUR -/ DATE <br /> NAME <br /> FOftwmkm LANDFILL � <br /> f'rafle id: 7910 <br /> _----- <br /> 9999 SOUTH AUSTIN ROAD DISPOSAL METHOD <br /> ADDRESS ` ❑ LANDFILL ❑ OTHER <br /> IAM TLCA CA 53336 <br /> V CITY,STATE,ZIP <br /> PHONE NO. (tog )}$2-42SI'8 <br /> Cl <br /> N TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> GEN OLDINEW L A TONS <br /> TRANS S B <br /> CIO �RT-ICD HWDF NONE DISCREPANCY <br /> M3nrrrest No: 731198 <br /> 73'+93 GENERATOR'S PRELIMINARY COPY <br />