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NO. 642308 <br /> NON-HAZARDOUS WASTE DATA FORM <br />' EPA <br /> LD <br /> NO <br /> 7-Eleven, Inc 7-Eleven *32262 <br /> x NAME <br /> 2360 W. Gram Line `:E <br /> 10�#1 SW Gn�auxx,� <br /> ADDRESS <br /> _'} <br /> Puw€Ie nd, OR 97223 Tracy, CA PHONE NO <br />' CITY STATE ZIP <br /> CONTAINERS Nm VOLUME 330 <br /> aal-IMS WEIGHT <br />' TYPE g3 TANK UMP <br /> TRUCK ❑ TR CK ❑ CARTONS ❑ OTHER <br /> NON-HAZARDOV-3- WATER and&r DECON RINSATE <br /> WASTE,pESMPTION GENERATING PROCESS PPM °b <br /> COMPONENTS OF WASTE PPM 46 COMPONENTS OF WASTE <br />' WATER 99-104% s <br /> 1 <br /> 2 TPH < 1% & <br /> BESI#103308.42 <br /> 3 7 <br /> PROPERTIES pH - ❑ SCUD LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> 1 <br /> HANDLING INSTRUCTIONS WEAR ALL APPROPRIATE PROTECTfVE CLOTHING <br /> THE WASTE N ASOR DESCRIBED CERTIFIES IS 3 THE <br /> 00% 08-12-04 <br /> Nora-HAZARDOUS LAR E�1 3LyTHART BESI FOR PIE <br /> TYPED OR PRINTED FULL NAME 6 SIGNATURE DATE <br />' EPA <br /> 8.E S.I. N3.eto and Sons �,p <br /> NAME <br /> 25971 TOWNE CENTRE DRIVE 1281 Brea Canyon Road <br /> SERVICE ORDER NO <br />' ADDRESS <br /> CITY STATE,Z!P <br /> LAKE FOREST, CA 92610 N3rea, CA 92821 PICK UP DATE 08 - 12 - 04 <br /> 49-460-5200 } 990-6855' PHONE NO Rafael Urera <br /> TRUCK.UNIT I D NO 65) 'j dq I PRINTED FULL NAME&SIGNATURE DATE <br /> EPA � 7 '� <br /> deMENNO KERDOON ID <br />' Q NO <br /> NAME DISPOSAL METHOD <br /> 20()oN, AUktIEDA STREET ❑ LANDFILyy��L'LJ OTHER <br /> ADDRESS <br />' CITY STATE ZIP Cof4PTON, CA 90222 RECYCLER <br /> 310-537-7100 <br />' PHONE NO <br /> FAC# 2 �ORPPINTEnFULL NWSMbNAT�F �' <br /> GEN OLDINEW L A TONS <br />' TRANS <br /> RTlCLL ry B µ l <br /> O HWDF <br /> Cia NONE DISCREPANCY <br />