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+ NO. 6399634 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> EPA <br /> fD <br /> NAME 7-Eleven, Inc. 7-Eleven #14117 No <br /> ADDRESS 20819 72"¢Ave. South 2725 Country ClulaPwA <br /> k CITY STATE ZIP Kent, WA 90032 SbDckban, CA <br /> PHONE NO <br /> CONTAINERS No _. A _ VOLUME (D a, Q <br /> � WEIGHT <br /> TNK DUMP <br /> TYPE TRUCK ❑ TRUCK ❑ DRUMS ❑ CARTONS ❑ OTHER <br /> WASTE DESCRIPTION HON-HAZARDOUS WATER PURGED GROUNDWATERCOMPONENTS OF WASTE ppM GENERATING PROCESS <br /> COMPONENTS OF WASTE ppM <br /> WATER 99-1000/0 <br /> s <br /> z TPH < 1% <br /> s <br /> L <br /> a <br /> 7 BEtSI#66122.02 <br /> 4 <br /> F} PROPERTIES PH ❑ SOLID 11 tlQUlp ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> HANDLING INSTRUCTIONS WEAR ALL APPROPRIATE PROTECTIVE C THI G <br /> THE GENERATOR CERTIFIES THAT THE <br /> WASTE AS DESCRIBED 1S l00% <br /> NON-HAZARDOUS LARRY MOOTHART B R GENERATOR `? <br /> TYPED OR PRINTED FULL NAME fi SIGNAT03 <br /> URE <br /> D TE <br /> NAME <br /> B.E.s.I. Nieto and Sons Eo" <br /> No <br /> ADDRESS <br /> 25422 TRABUCO ROAD #105-269 1281 Brea Canyon Road <br /> SERVICE ORDER NO <br /> CITY STATE ZIP LAKE FOREST, CA 92630 Brea, CA 92821 Q 0-3Q= PICK UP DATE _ <br /> PHONE NO 949-450-1010 4) 990-685 <br /> t <br /> TRUCK,UNIT 10 NO TYPED OR PRINTED FULL NAME d SIGNATURE <br /> DA <br /> NAME DeMENNO KERDOON Eo <br /> NO <br /> ADDRESS <br /> 2000 N. AL.AMEDA STREET DISPOSAL METHOD <br /> ❑ LANDFI OTHER <br /> CITY STATE ZIP COMPTON, CA 90222 <br /> PHONE NO 31G-537-7100 <br /> l <br /> TYPED OR PRINTED FULL NAME& <br /> ATE <br /> GEN OLDINEW L A TONS <br /> TRANS S B <br /> RTlOO kWDF � <br /> ' CIO NONE DISCREPANCY <br />