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02/01/2006 17:16 FAX 510 614 8396 PARADISO MECHANICAL Z004 <br /> 14ON-HAZARDOUS WASTE DATA FORM <br /> NAME <br /> ADDRESS <br /> CITY.STATE,ZIP PHONE NO. <br /> 0 CONTAINERS: No. VOLUME WEIGHT <br /> uj <br /> z TYPE: 0 TRUCK ❑TRUCK TANK Dump El DRUMS El CARTONS Cl OTHER <br /> Lu <br /> ' a GENERATING PPOCESS <br /> WASTE DESCRIPTION ".b <br /> COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> Lu <br /> ui 2. s. <br /> 0 7. <br /> Lu 4. 6. <br /> ca <br /> 0 PROPERTIES: pH 0 SOLID F-1 LIQUID 11 SLUDGE 0 SLU14RY 13' OTHER <br /> HANDLING INSTRUCTIONS: I...o <br /> 21,25 <br /> PF0 OR PAINTED FULL NAME&SIGNATURE <br /> C)OE <br /> NAME <br /> Lu <br /> ADDRESS SERVICE ORDER NO. <br /> 0 <br /> CL <br /> CA CITY,STATE,ZIP PICK UP DATE <br /> z <br /> PHONE NO, <br /> TRUCK,UNIT,I.O.NO, :rFYIP16i. R PRINTEIS FULL NAME a SIGNATURE DATE" <br /> NAME <br /> DISPOSAL METHOD <br /> ADDRESS El LANDFILL 0 OTHER <br /> CI-Y,STATE,ZIP <br /> LL <br /> PHONE NO. <br /> TYPED OR PRINTED FULL NAME&SiGNAT.wOE---� DATE <br /> GEN OLDINEW L A TONS <br /> TRANS s 8 <br /> CIQ -9,T-lCD HWDF NONE DISCREPANCY <br /> -7 <br /> RECEIVING SITE SENDS TO GENERATOP <br />