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C) <br /> Po. Box 695 No. 00675 <br /> C & H VETERAN West Sacramento, CA 95691 <br /> ' ENTERPRISES, INC. Ph: (916) 3 1-0148 <br /> Fax: (916) 3 1-5957 <br /> N N-HAZARDO S W STE DATA FORM <br /> NAME AMEFU `M <br /> EPA <br /> I.D. <br /> ADDRESS IEW PLIF03HALL AW NO. <br /> CITY,STATE.21P STOCKM4. CA PHONE NO.(ODQI 9QQ:QQM <br /> CONTAINERS:No. VOLUMEICY / WEIGHTITONS <br /> TANK <br /> TYPE: ❑ TRUCK ❑ DUMP TRUCK ❑ DRUMS ❑ CARTONS 0 OTHER �� ��f + �1 �Rsi�1 <br /> WASTE DESCRIPTION Sa l C V:A bm W 61c Ow4v 5 ENERATING PROCESS <br /> mCOMPONENTS OF WASTE PPM% COMPONENTS OF WASTE PPM 96 <br /> ' 3 ' <br /> 2. 4. <br /> O <br /> V <br /> LUVOC-OVA READINGS <br /> m <br /> �] SITEVERiFICATION 1OW PIWSHALL AVE KTON. CA <br /> F- PROPERTIES: pH XSOLID ❑UOUID ❑SLUDGE 0 SLI JRRY ❑OTHER <br /> HANDLINGINSTRUCmft W-ARL PPF <br /> 6/V <br /> THE GENERATOR CERTIFIES THAT THE <br /> WASTE AS DESCRIBED I8 1 DO% N4 Nc- -%d AX S - to <br /> HAZARDOUS, [7M�-50'4"'INTEf_LVNAM E SIGNATURE p� GATE <br /> NAME N0 f'l A I P In to h t $ 1,�I CA 51 <br /> ADDRESS $ERVICEORDERNO. <br /> ~ CITY,STATE,ZIPCA 9,56D PI TE <br /> PHONE NO,Q91M371-07.48 _-- <br /> TY D OR PRINTED FULL NAME&SJ0NATUR DATE <br /> TRUCK,UNIT,I.D.NO. <br /> ERk <br /> NAME NO.11 I _A__t I I I I I, <br /> 0 ADDRESS SEEN <br /> ICE ORDER NO. <br /> NCITY,STATE.ZIP PICK UP DATE <br /> Z <br /> PHONENO.( <br /> ( } <br /> TRUCK UNIT,I.D.NO. TYPED OR PRINTED FULL NAME At SIGNATURE CAME <br /> 7 <br /> EPA <br /> � D � C` A D 9 8 2 0 4 2 4 <br /> NAME NWS HAY I L. DISPOSALMETHOD <br /> ADDRESS 6426 HAY FOM 13 LANDFILL ©OTHER <br /> CITY,STATE.IIP }moi i F CA <br /> Q PHONE NO.(2074679-1492 <br /> TYPED OR PRINTED FULL N kME 6 SIGNATURE DATE <br /> Fes,. GEN OLD/NEW L A TONS <br /> TRANS S B <br /> CIO m1a) WWF NONE <br /> DISCREPANCY <br /> White 8 Yellow-TSD COPY Pink-GENERATOR COPY Blue-TRANSPORTER COPY I Goldenrod-TRANSPORTER COPY n <br />