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NO. 692930 <br /> ' NON-HAZARDOUS WASTE DATA FORM <br /> BEI y �y <br /> 4L <br /> GuneraW.Nam end MeiBng Address Generators Site Addroaa 10(iftrent Nan mMing aldfass) <br /> t ITA Te OF CAJ1 f NiA-DEBT.fT OENITR.OkL WlttvgEt DEPT,OF CORREC"t'IGM frAC.-MUEL <br /> AM CSTAT1!V gffM±Ce3 VOCATION&INST11TUTION WRN PIT <br /> 7mmito ST. <br /> W9V S.A.CRAAWNT0,CA 9M 238faC1'KAMON RD. <br /> TRACY, CA PFKV4 <br /> Ganemizes Phone: <br /> Container type removed from site: Container typtee ulansported to receiving ISOMily: <br /> L �DNms Q Vacuum Truck ❑ Roll-off Truck UDump Truck ❑ Drums X Vacuum Truck Q Roll off Truck ❑ DumR Muck <br /> ' C3 other (3 Other _ <br /> ' ccQuantity Quantity Volume <br /> O —� <br /> !- <br /> W CyON-HAf..ftrR00US WA.TEf� wS�t1 FUF2ai _ .'S'tiR+fAT <br /> WASTE DESCRIPTION GENERATING PROCESS <br /> Z YJ�a y��COMPONENTS OFWASTE —. - PAM � nn %r�.n COMPONENTSOFWASTE PPM % <br /> _ er:R mR^ 4rvJ� <br /> Tom . 0% <br /> 4. <br /> Waste Profile PROPERTIES: pH 7,10 ❑ SOLID YO LIQUID d SLUDGE d SLURRY ❑ OTREA <br /> ' HANM,fNriNSTRUCroNe: _ <br /> 68narator' Pra WypedName s'p tent Month DsY Yearf <br /> . ..-.. <br /> The Gerreralor oaroftas that Ole wast,as deacdhad Is 100%nor,hawdous <br /> Trannsporterr�I Company Name Prhaomwill <br /> PGL.v:rr�Ri�..,w (f� ,,. 3M+W%BWYJilr49 <br /> cc <br /> TrenspmUr i Pd T ad!r Name Signature - Month Day -.Yaw <br /> Q "IYaneportai A..kno .d t of R.deNt of a ale <br /> 0 <br /> (/). Trarropotter 2 Gompalry Name- Poor# <br /> Zh-St5TD 6,SONS TRUCKIW INC. 71d» <br /> TraMnar 2 poPdntedlfYped Name Signature Month Day Year <br /> TraneporterAcknovdedgmant of ROCOPt of Malenaie <br /> Oaslgnated Facility Name and She Addmae PhoneS- <br /> OEW&NNO KEROOO 3iE1-X37-714N} <br /> -1 20W N. ALAMEDA ET". <br /> Q <br /> COMKOK CA 0222 <br /> (jJ <br /> Primbdayw Nem. Signalen, Moral ay eat <br /> Oealyndfed Facajn Owhm or Op"or;,CeNficabon r#receipt of Ra tfenals CoveredW this detafodn. <br />