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06/02/2005 10:23 FAX 510 614 8396 PARADISO MECHANICAL 0006 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> 0. UHL W3, <br /> NAME <br /> ADDRESS <br /> PHONE NO, <br /> CITY,STATE,ZIP <br /> VOLUME WEIGHT <br /> 0 CONTAINERS: No. <br /> ❑DUMP <br /> LU TYPE: 1 [:) pRUMS ❑ CARTONS El OTHER <br /> z TRUCK TRUCK <br /> ndo.-p V-00 AC-rs. <br /> g-, GENERATING PROCESS <br /> WAVE DESCRIPTION COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM % <br /> >- % <br /> m <br /> 5 <br /> U) . <br /> 7. <br /> 0 <br /> W <br /> 4. <br /> a.m <br /> 0 PROPERTIES: pH ED SOLID C3 LIQUID SLUDGE 0 SLURRY El OTHER <br /> HANDLING INSTRUCTIONS: <br /> fl; BEMIF Of <br /> ITF �4 <br /> MIR L, AN B <br /> TYPED OR PRINTED FULZINAME&SIGNATURE <br /> DATE <br /> Z. <br /> NAME <br /> ADDRESS SERVICE ORDER NO, <br /> k". <br /> CITY,STATE,ZIP PICK UP DATE <br /> Z <br /> PHONE N6, <br /> (43 Wb,� X�', <br /> TRUCK,UNIT, 1,0.NO. iTYPED OR PnlwrFo FULL NAME&SIGNATURE DATE <br /> tIP61F, ps5M 0 1.d.- <br /> NAME <br /> DISPOSAL METHOD <br /> ADDRESS 0 LANDFILL E3 OTHER. <br /> CITY,STATE,ZIP <br /> L <br /> PHO I hE NO; <br /> TYPED OR PRINTED FULL NAME 6$IGNATURF-- DATE <br /> GEN OLD/NEW L A TONS <br /> TRANS F-B <br /> RTICD HWDF NONE DISCREPANCY <br /> RANSPORTER'S COPY <br />