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k <br /> Si <br /> MON-HAZARDOUS WASTE DATA FORM 4 16 <br /> NAME 1.ulor Spat Co. <br /> EPA <br /> ADDRESS •3400 E Harney Lane Ho. P '3t_-I E-17i�E <br /> CITY,STATE.ZIP Ladi. California gd52G PHONE NO 12051333-0238 <br /> CC <br /> CONTAINERS:Na r J VOLUME I WEIGHT <br /> CC <br /> U2 TAN9 DUMP <br /> TYPE: D TRUCK R THUCK ❑ ORUMS ❑ CARTONS ❑ OTHER <br /> Soil with diesel .., <br /> - WASTE DESCRIPTION 1-100 PPMpEHFRATINO PROCESS Tank Removal <br /> mCOMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM <br /> '.3 W 1 Cf511 CIA%_. <br /> r <br /> W Diesel 1.100 1% <br /> LLI <br /> �. ® ` a _ <br /> s <br /> PROPERTIES: 0H_ SOUL ❑ LIQUID ❑ SLUDGE ❑ SLURRY ❑ OTHER <br /> HANDLING INSTUCTIONB: Auproval *1 20209-286 <br /> THE GENERATOR CERTIFIES THAT - <br /> TIAE WASTE AS DESCRIBED IS 100%{i <br /> NONHAZARDOUS <br /> 5 TYPED OR PRINTED FULL NAME A SIGNATURE f DATE <br /> I Oillard TrucklnW. Inc. en C ;1 D 9:8 1 6 5 2 8 0 9 <br /> j CC NAVE 1, 1 <br /> 61 <br /> i ~ ,haute 1 Box 73 <br /> .ADDRES3 -- _ _ _- _ -_ _ SERVICE ORDER NO. <br /> n, <br /> Byron. California 44544 <br /> CITY.STATE,ZIP - PICK UP DATE„ .. - <br /> e t I H PHONE NO. 1415)6,14-0567 <br /> TRUCK UNIT.I O.NO. TYPED OR PRINTED FILL NAME A SIGN AE ( OATC-EPA <br /> i- <br /> -:� <br /> {r NAME Liquid Waste ManaZement. Inc. iso CI al D1918� �' J 318 Ta r3 � <br /> i <br /> 4 •F..Y- _- i - .. '.. DISPOSAL METHOD <br /> Star Route Box <br /> ADDRESS St <br /> _ __®_LANDFILL.- ❑_.OTHER <br /> -� McKittrlck.. Ca. 53251 <br /> 4� CITY.STATE,ziP14. <br /> . _ <br /> PHONE NO. 845 762-7388 •^ <br /> r p - <br /> TYPED OR PRINTED FULL NAME A SIGNATURE ....- OATS"-- - { <br /> GEN - - - OLDINEW TONS - � <br /> 'X�7 {< - <br /> i TRANS S B I <br /> R(ICO. _ HYIDF NONE. -D16CHEFANCY ',a , . <br /> L -------._... <br /> - <br /> t <br /> r. s <br />