Laserfiche WebLink
1 <br /> NO. 692930 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> ESI* <br /> ' 192269 <br /> Ganeietor s Nama and MaMgAddrasa Generabfs StlgAtldraa Uf dardrenrMan mWNg'eddravj' <br /> STATE-OF CAL;FOKNJA•DEK—OfMIMAtSERVICES DEPT IOFCORREC*1mqAoNg.,-DEUR. <br /> R# ' <br /> ' }V.ESTATE SaRV308 DIVIVON vOCATiONAL.lNSfiiTF! oN BURN PIT <br /> W ZRD ST. <br /> ' E$*SACRANIERTO,CA 2M233DD KA580F7 ftp, <br /> TRACY,CA 3133 <br /> Genensloes.Piwne: <br /> Container Type removed from site: Contalner typee Vaasported toreceiving facility: <br /> d-Dmms 0 Vacuum Truck 0 RolFoNTruck 0 Dump Truck 0 Drums Xb Vacuum Tludc 0 Roul ffTmcK 0 Dump Truck - <br /> O Other 0 Other <br /> ' CC Ouantty Quantity ... Volume <br /> O <br /> NDN-HAZAROCIUS WATER WELL PURGING/OECON WATER <br /> WASTE DESCRIPTION GENERATING PROCESS <br /> ' W - COMPONENTSOFWAM rpm'-' % - COMPONENTSOFWASTE PPM % <br /> Cr3 WAU-9. 9B I0wo a <br /> TPF! <br /> 'Weete Profile PEOPER7IES:_pH7_#D ❑ SOLID'tLg LR.IUIG OSWDGG 0 SLURRY ❑ OTHER <br /> '. WtNDUNG INSTRUCTIONS: .. . <br /> GeneratorPrkledflyped Name �,{ SlgntlNa Month Day' Y", <br /> !fit/ JJ:•;�u t O r Ilia i':Tr FT j)r 0-(!'>. ' <br /> ' <br /> The Generetorcanifies thattisewesta asdeacdbedhi0%6'nomhmardous ' t . <br /> Transposer i company Name Phones <br /> BEL�NiIv'E.� ,. 9d9�4Q(f-82134 <br /> ' LLJ Danspo ter I Pd Iegrrypop Neme Blom w o •z Month Day lAnv <br /> cc <br /> 'n. TtanMorrer Ackm edemenl oLReceipt otM, eta �s <br /> (n' Tra�m{pdrpre�2Compaoy Nome' PhoneA ZZ htkFTO &SONS TRUCKIN.O.INC._ 7i4r46fi Ga?35 <br /> ('[ Trensponer 2 Nimeelf yped Nemo Slanaore Momm Day' year <br /> ' -TranspanerAekitov+letlgmanf otReaiptot Mgledek - - <br /> Designated Faci ty Name and Bila Address Pholie@' <br /> Fr_ MMENNO KER{ OON 3#i:-57-7#DD <br /> 20M N ALAPAEDA Sl-. <br /> Q CONIFITON, Cry 913222 <br /> LL <br /> lf.l signmure Month Day yeal <br /> U <br /> w <br /> ' � DesiSneied Fadkty Ovmer.orOpamkr;Ceailraum of rawtpt of merenalaooeared Wlhhdaeferm. - <br />