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06/02/2005 10:24 FAX 510 614 8396 PARADISO MECHANICAL 0 008 <br /> 55708 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> SHELL UiL PRODUCTSUS AW!J.MARTIN,MIFT2440E <br /> NAME <br /> ADDRESS <br /> PHONE NO, ( 231) 814.2.279 <br /> CITY,STATE.ZIP <br /> O CONTAINEFS: No, VOLUME WEIGHT Tom= <br /> Q <br /> TANK DUMP ❑ DRUMS ❑ CARTONS ❑ OTHER <br /> TYPE: D TRUCK ❑TRUCK <br /> LLI <br /> WASTE DESCRIPTION <br /> i✓t r .y 1C1?l' GENERATING PROCESS Tari�-Remmal <br /> >- COMPONENTS OF WASTE PPM % COMPONENTS OF WASTE PPM % <br /> co <br /> W ' s. <br /> 1-- <br /> Ja e <br /> IL <br /> re <br /> O 9 7. <br /> W "- 8 <br /> m <br /> Q PROPERTIES: pH ❑ SOLID ❑ UOUID ❑ SLUDGE ❑ SLURRY C3 OTHER DOLS <br /> -,p „;-{1}: TI,1�G�,;E;at:'•,'L•ril'si,�ENUI�i5E1� ;$Dtlid2d-931 <br /> HANDLING INSTRUCTIONS: <br /> £R <br /> TCS 8l.a9'Ii:.: 9DP tiq <br /> -71 <br /> 3`L':7(jltP^ir", `-L 9,37,12 TYPED OR PRINTED FULL NAME)t SIGNATURE DATE <br /> ItNAME <br /> I— ADDRESS SERVICE ORDER NO, <br /> ai ti,r,I ya'2 1 <br /> N CITY,STATE,ZIP rPICK UP DINE <br /> Q PHONE NO. 0 , <br /> r TRUCK,UNIT,I.D.NO. TYPED ORf!PRINTED FULL NAME&SIGAATURE DATE <br /> Pr��!a!d. <br /> NAME <br /> DISPOSAL METFIOD <br /> ADDRESS ❑ LANDFILL ❑ OTHER <br /> (� CITY,STATE,ZIP <br /> LL. PHONE NO. ( �L1I 44'7-L4r`t <br /> Q •` � �t/ 1f' �J��y � <br /> TYPED OR PRINTED FULL NAME!S SIGNATURE DATE <br /> GEN QIP/NEW L A TONS <br /> TRANS S B <br /> oro RT/CD HWDF NONE DISCREPANCY <br /> 4'' TAANSPORTER'S COPY <br />