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02/01/2006 17:18 FAX 510 614 8396 PARADISO MECHANICAL 2009 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> NAMIE <br /> W(vu <br /> ADDRESS <br /> CrrY,STATE,ZIP PHONE NO, <br /> 0 CONTAINERS: No. VOLUME WEIGHT <br /> ui TANK DUMP <br /> z TYPE: 1:1 TRUCK 0TRUCK ❑ DRUMS ID CARTONS ❑ OTHER ___ <br /> LLI <br /> WASTE DESCRIPTION GENERATING PROCESS <br /> COMPONENTS OF WASTE PPM 9b COMPONENTS OF WASTE PPM al. <br /> 0 <br /> uj <br /> J2. 6. <br /> 0 7. <br /> IL) <br /> uj 4. e. <br /> CD <br /> 0 PROPERTIES; PH ❑ SOLID 0 LIQUID 11 SLUDGE ❑ SLURRY Q OTHER <br /> illvolul F-TE C-014TAIC:7 1p, <br /> HANDLING INSTRUCTIONS: <br /> Aw-D po-595 <br /> H1911WAT <br /> SOT.&-wl tA ?ow lc TOED 6WPRINTF 6"FULL NAME 8,SIGNATURE V GATE <br /> M NAME <br /> LLI <br /> AIDORESS SERVICE ORDER NO, <br /> EL r.A RTP�r IF k <br /> Q) CITY.STATE,ZIP PICK UP DATE <br /> Z <br /> (E PHONE NO. <br /> TRUCK,UNIT,1,13.NO. ��ORPRINTED FULL NAME 8 SIGNATURE DATE <br /> NAME <br /> DISPOSAL METHOD <br /> AODFIESS 4OZIN El LANDFILL 0 OTHER <br /> 3 <br /> Wv1p"O.Re. Cliff <br /> : <br /> CITY.STATE,ZIP <br /> 4K <br /> LL PHONE NO, 926-5) <br /> TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> GEN OLDINEW L A TONS <br /> TRANS s B <br /> CIO RTICD HWDP NONE DISGREPANCe'�'-I: <br /> 1dio'0(93 I.4 <br /> TRANSPORTER'S COPY <br />