Laserfiche WebLink
06/02/2005 10:24 FAX 510 614 8396 PARADISO MECHANICAL 16009 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> Foomlc-rs A*k- MAN q N",*MF <br /> NAME <br /> ADDRESS <br /> PHONE NO. <br /> CITY,STATE,ZIP <br /> V <br /> 0 CONTAINERS: OLUME WEIGHT <br /> 11-- <br /> 4 <br /> cr OTHER <br /> TANK DUMP <br /> L" TYPE: 0 TRUCK E]TRUCK DRUMS ❑ CARTONS El <br /> z <br /> LLI <br /> 0 WASTE DESCRIPTION GENERATING PROCESS <br /> % <br /> >- COMPONENTS OF WASTE PPM COMPONENTS OF WASTE PPM <br /> Lli <br /> I- <br /> LU 2. 6. <br /> 916 <br /> 2 <br /> 0 37. <br /> 0 <br /> Lu 4. <br /> 0 PROPERTIES: PH ❑ SOLID El LIQUID ❑ SLUDGE 0 SLURRY ❑ OTHER <br /> HANPLANG INSTRUCTIONS; <br /> F-5 TYPED OR PRINTED FULL-GAME&SIGNATURE DATE <br /> IM NAME <br /> uj <br /> ADDRESS- <br /> SERVICE ORDER NO. <br /> 0 r7,fi PICK V " ; <br /> m �,DATEATP <br /> CITY,STATE,ZIP <br /> z <br /> PHONE NO. <br /> olDrATE"' <br /> TRUCK,UNIT,I.D.NO. TAPED OR PRINTED FULL NAME umr_ <br /> NAME DISPOSAL METHOD <br /> ADDRESS ❑ LANDFILL Cl OTHER <br /> crry,STATE,ZIP 4� <br /> PHONE NO, <br /> 0 <br /> TYPED OR PRINTED FULL NAME&SIGNATURE DATE <br /> GEN OLD/NEW L A— TONS <br /> TRANS S B <br /> CIO RT/C0 HWDF NONE DISCREPANCY <br /> TRANSPORTER'S COPY <br />