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02/01/2006 17:17 FAX 510 614 8396 PARADISO MECHANICAL 2006 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> NAME -- <br /> ADDRESS <br /> CITY,STATE.ZIP PHONE NO. I I <br /> O CONTAINERS: Na. VOLUME WEIGHT <br /> H <br /> Q <br /> TANK DUMP <br /> z TYPE: ❑ TRUCK ❑TRUCK ❑ DRUMS ❑ CARTONS ❑ OTHER <br /> Lu <br /> WASTE DESCRIPTION "" 'Y"'' $ GENERATING PROCESS <br /> COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM Oro <br /> m <br /> In W i, 5. <br /> H <br /> J 2. 6. <br /> a <br /> 2 a 7. <br /> 4 <br /> C) <br /> W e. <br /> m <br /> Q PROPERTIES: pH ❑ SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY ❑' OTHER , <br /> ri <br /> HANDLING INSTRUCTIONS: " <br /> J.17 <br /> • - TYPED OR PRINTED FULL NAME 8 SIGNATURE DATE <br /> Cr NAME <br /> W <br /> CC ADDRESS SERVICE ORDER NO. <br /> Q <br /> VJ CITY,STATE,ZIP PICK UP DATE <br /> Z <br /> PHONE NO. . •!tr t` h , '.ti <br /> TRUCK.UNIT, I.D.NO. TY ED O'B"PRWT611 FULL NAME i;:-SIGNATURE DATE <br /> NAME <br /> 'i,4:i )i f q�S �•�.� OISPOSAL METHOD <br /> ADDRESS ❑ LANDFILL ❑ OTHER <br /> CITY,STATE,ZIP <br /> LL PHONE NO. l <br /> TYPED OR PRINTED FULL NAME&SIGNATURE .� DATE <br /> GEN OLDINEW L A TONS <br /> TRANS S 8 <br /> CIO RT/CO HWDF NONE DISCREPANCY <br /> P,EcFiv)Nr 'TF SEND$;tr cad Fac Pa,';};f <br />