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06/02/2005 10:12 FAX 510 614 8396 PARADISO MECHANICAL 2006 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> NAME <br /> ADDRESS <br /> CITY,STATE.ZIP PHONE NO. <br /> cc 31 1 1 ons <br /> 0 CONTAINERS:No. VOLUME WEIGHT <br /> I- <br /> 4c <br /> ix <br /> TRUC <br /> Z w TYPE: Cl TANK E)TRUCK DUMP El DRUMS El CARTONS ❑ OTHER-- <br /> K <br /> Lu fr 2 PROCESS Tmilk, <br /> .'d, GENERATING <br /> WASTE DESCRIPTION <br /> COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> 2. 6. <br /> 7. <br /> 0 <br /> L) <br /> ui 4e.. <br /> O <br /> 0 PROPERTIES: pH ❑ SOLID 17 LIQUID 0 SLUDGE El SLURRY 11 OTHER <br /> 24 S-01.)R FMFf'l,(."F-,NC7 <br /> HANDLING INSTRUCTIONS <br /> a E E.T2.&TV <br /> 9 ErAl."r(li <br /> p14K, Rc�'V) RML, ADAM SOP I FS <br /> :TYPED OR PRINTED FULL NAME&SIGNATURDATEE <br /> M NAME <br /> LLI <br /> ADDRESS SERVICE ORDER NO, <br /> M <br /> 0 <br /> IL <br /> (J) CITY,STATE,ZIP PICK UP DATE <br /> Z <br /> PHONE NO, <br /> TRUCK,UNIT,I-D.NO. TYPED 4R PRINTED FULL &SIGNATURE DATE <br /> NAME <br /> DISPOSAL METHOD <br /> ADDRESS ❑ LANDFILL 0 OTHER <br /> CITY.STATE.ZIP <br /> PHONE NO. ( ''''` 't F +.iP( ��� �,�nh •!`e" <br /> O. e" <br /> 0 <br /> TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> GEN OLD/NEW L A TONS <br /> TRANS s B <br /> CIO AT/7F— KWDF NONE DISCREPANCY <br /> Mniff-'rj'Nrt- <br /> TRANSPORTER'S COPY <br />