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92276 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> SHELL PIPELINE CON PANY LP Ate: SHERELL HEIDT <br /> NAME <br /> P. 0. BOX 2646,TSP I606 <br /> ADDRESS <br /> HOUSTON, TJX 77262-2648 <br /> CITY,STATE,ZIP PHONE N0. (713 )Z41-5036 <br /> 1 10 Cubic Yards <br /> CONTAINERS: Na. VOLUME WEIGHT <br /> a <br /> cc <br /> TANK DUMP <br /> Z TYPE: ❑ RUCK ElUCK 1:1DRUMS E] CARTONS OTHER <br /> W SOIL,W/CRUDE OIC, <br /> (� WASTE DESCRIPTION GENERATING PROCESS <br /> COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> m <br /> W <br /> LLI 2, B <br /> J <br /> a <br /> O 3. 7. <br /> 0 <br /> W 4. s. <br /> p] <br /> Q PROPERTIES: pH ❑ SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY OTHER SOIL <br /> HANDLING INSTRUCTIONS: 24 HOUR EMERGENCY PHONE NUMBER(8DO)424.9300 CHEMTREC <br /> a$LY IIIDRD 57A;IGfV' <br /> sins ra:rnaza�s Mass ansa �,�M l S, G� � �.-,,,,j h•..j[•�4. ; ti^- <br /> RaCI , C71 93375 �,..•_ ... <br /> TYPED OR PRINTED FULL KJAKAF&SIGNATURE DATE <br /> J$AY01EW TfLUCXWG <br /> W NAME <br /> 1090SUMMI T ROAD <br /> O <br /> ADDRESS SERVICE ORDER NO. <br /> LL WA=NVILLE CA <br /> 0 STATE,ZIP PICK UP DATE a — <br /> z <br /> < PHONE NO. X40 210-4666 <br /> TRUCK,UNIT,I.D..NO. TYPED O RINTED FULL NAME ;SIGNATURE DATE ' <br /> POIZWIM LANDFILL <br /> NAME. PrAf a ld: 7910 <br /> r9994 SOUTH DUSTIN ROAD DISPOSAL METHOD <br /> ADDRESS ❑ LANDFILL ❑ OTHER <br /> J y 9533E <br /> V CITY,STATE,ZIP <br /> L3. PHONE NO. (20+9 }982-4298 <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 /> Nlarii est No: 73108 <br /> 73'19$ GENERATOR'S PRELIMINARY COPY <br />