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<br /> NON RCRA WASTE DISPORAL INFORMAl11+N 'NO PLACMOS AEW EO• 2
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<br /> EMPTY DgUMS: 1'gCIIITY. I TRUCK N0.8 RT.
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<br /> LNxlr,nlr.r'rlePr I --'"" / //•Er/ DETI44T THE WASTE OE HOi LON�AINµY CB'S HAN IIxp PP.M.; J(_-
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<br /> NON ACII HAZARDOUS WASTE.000ID,USE..........LUST UISPOSAL INFORMATION
<br /> O RC N2ARDOU 3EL WASTE DISP05AL INFORMATION
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<br /> AL ERNATFTSDF�—=_-- __ --- ---_�- —
<br /> —�— _ - --- - I DRUM EMPTY DRUMS: FACILITY: ------
<br /> DRUMS P/U: - --- BSC_
<br /> — FACILITY: SSC
<br /> EMPTY DRUMS: GENERATOR WASTE CERTIFICATION(PLEASE CHECK THE APPROPRIATE Bo,
<br /> —
<br /> GENERATOR WASTE CERTIfICATION
<br /> u.°.,x (PLEASE CHECK THE APpgOPRIATE BO%)
<br /> ar,re w �'" ww.M (Waste oil SleneNtoNcustOmer MUST check ONE of the following three boxed
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<br /> xaONE ofthe following three boxes) o•a ”"""'""'""'^"'^"""w•-•w
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<br /> Arx4wnnN n, (Ad g"enerafors/cusfomes aMUST " 11011OWing ead thef ingg text and check
<br /> w the associated boxes
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<br /> Date Dr vi er Signature----- - Date
<br /> - —_--
<br /> ' .,. Date Dr ver S'gnaRlre------_-�--- / r M., Print Dr vers Name
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<br /> PrintPlint Driv�—
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