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06/02/2005 10:24 FAX 510 614 8396 PARADISO MECHANICAL [R]007 <br /> 95707 <br /> NOWHAZARDOUS WASTE DATA FORM <br /> "Picil "Is us A.0'".r-,OWARPNI <br /> NAME <br /> 1 i.701 04 <br /> ADDRESS 40�AS ?Too?450 2'2 <br /> PHONE NO. <br /> CITY,STATE,MP <br /> cc <br /> 0 CONTAINERS'No. VOLUME WEIGHT <br /> cc TANK ❑ DUMP ❑ DRUMS [I CARTONS El OTHER <br /> Lij TYPE: 11 TRUCK TRUCK <br /> Z <br /> ;ta R. <br /> WASTE DESCRIPTION -P GENERATINGPROCESS <br /> COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> LLJ <br /> LLJ 6. <br /> 7 <br /> 3, . <br /> 0 <br /> C.) a. <br /> ui 4. <br /> m <br /> 0 PROPERTIES! pH E3 SOLID ❑ LIQUID D SLUDGE El SLURRY U OTHER <br /> HANDLING INSTRUCTIONS; <br /> -.7aItr' <br /> sf r lis <br /> -v <br /> cy, kl�5 Rw pl I.. AWE <br /> TYPED OR PRINTED FULkIAAME&SIGNATURE DATE <br /> rnavmXS.ITT,' <br /> CC NAME <br /> Lu <br /> ADDRESS- ✓ <br /> SERVICE ORDER NO. <br /> gr <br /> ) PIC UP IKi <br /> CL <br /> CITY,STATE,ZIP <br /> PHONE NO. <br /> cc <br /> TRUCK.UNIT,I.D.NO. TYPE OR INTED FULL NAME IGNATURE l6ATE/' <br /> NAME DISPOSAL METHOD <br /> >_ ADDRESS 0 LANDFILL El OTHER <br /> CITY,STATE,ZIP <br /> PHONE NO. <br /> TYPED OR PAINTED FULL NAME&SIGNATUhl DATE <br /> GEN OLDINEW L A TONS <br /> TRANS S 13 <br /> CIO WIG!] i4WDF NONE DISCREPANCY <br /> ;37m;fT!Ft !o <br /> 111 F i 15 TRANSPORTER'$COPY <br />