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06/02/2005 10:14 FAX 510 614 8396 PARADISO MECHANICAL Z 011 <br /> " N04MAZARDOUS WASTE DATA FORM <br /> NAME <br /> ADDRESS y x 1 <br /> 7 0 l 8 <br /> PHONE NO. <br /> CITY,STATE,ZIP�. <br /> Q 1 WEIGHT <br /> O CONTAINERS:No. VOLUME <br /> H <br /> TANK DUMP ❑ DAEl CARTONS Cl OTHER <br /> IJJ <br /> TYPE- LlTRUCK TRUCK <br /> 7U.jk!''Jr-;_~f GENERATING PROCESS <br /> WASTE DESCRIPTION <br /> COMPONENTS OF WASTE PPM �6 COMPONENTS OF WASTE PPM % <br /> m <br /> W s. <br /> N <br /> J2. a. <br /> a . <br /> 3 7. <br /> W 4. a <br /> O PROPERTIES: pH ❑ SOLID ❑ LIQUID ❑ SLUDGE ❑ SLURRY OTHER <br /> 24 E ?aVfui� 11� 3�- OJ42.J-9-3D)�I <br /> HANDLING INSTRUCTIONS: <br /> RYD. L. APAi-I", �: r�J%J!- `;''�' <br /> rysR s?I.T;�pl_ Na, q y;�fJ TYPED OR PRINTEII FULL- AME&SIGNATURE DATE <br /> IC NAME <br /> W <br /> Q. ADDRESS SERVICE ORDER NO. <br /> CL <br /> ch CITY,STATE,ZIP PICK UP DATE <br /> z <br /> CC PHONE NO. , ) _ <br /> 1J1 d <br /> TRUCK UNIT,I.D.NO. , TYPED OR PRINTED FULL NAME&StONATURE DATE <br /> <ve, <br /> NAME �nl rK..L, j � --- --- <br /> �N}rr,l,�l.-1T DISPOSAL METHOD <br /> r <br /> ADDRESS �'! 1tA Ig•'.l ❑ LANDFILL ❑ OTHER <br /> CITY,STATE,ZIP <br /> W PHONE N0. (..P.�Fjr. �:;.E}�f J �),r <br /> F, r��tT'+' .�r�T• <br /> 77 „M�Ny� TY ED uR F191NTGKS ULL NAME&910NA'l'URE DATE <br /> v <br /> GEN OLD/NEW L TONS <br /> TRANS 8 B <br /> C/Q RT/CD HWDF NONE DISCREPANCY <br /> Man?e5.1.10. 55'96r4 <br /> ri;r't?ri'i TRANSPORTER'S COPY <br />