Laserfiche WebLink
. z f REORD <br /> t <br /> PDOWII WASTE (""t be f 1110 yproILL `HAULER (it WASTE (Mist be filled by hauler) <br /> s s <br /> ST <br /> riRass <br /> o ms's <br /> s adorers <br /> Ms! w _ treat ity <br /> .. 7 treat . ty tae. <br /> Tel*phune timber: °- ' 'i T <br /> Tslapbaeabart P.O. or Contract Na.• t'at <br /> e <br /> Sta},a,l.Squid W,sts Haeier a Fe3:strati t`s'_.i: <br /> S, <br /> order plats( syn fl � .:r. . w.. s sa ' <br /> s - Jokt�Mo.: <br /> adiCb B Nslt•s: -ti . Vslrlels: �eaeuua c; a .�` <br /> Ettasp ss meta platIng. egwipsrnt=el oil drtl <br /> wastewater treataent, pickling both, patralreiinitti) 4- rie, described Vast was haul•:' _y <br /> We4 0, <br /> DESCRI-OPTIOV OF BASTE (M-st be filled by producer) r6:tify onr rf �� • 1. <br /> of perjury that the _o:a�,ir•g as e <br /> Check t+pe at unites; 6 ® Task motto sadi:er.t and .correct, <br /> r g9u su_ 771 _ a.. .. <br /> 2. AILs'::to seiut_ :. 9. a -.T. <br /> gra,urs o <br /> a•� <br /> C3 Plaint s'.rdse <br /> 5. C1Solvent 12. Q Carrier. vestIt , Siem <br /> d, {] ?etzarct. 1 lead siydss 13. t21 LatexeXMI <br /> waste 5* c. <br /> !m.d at5 .ec�r <br /> y. 0 Chea; 0i tui.tt wastes 106. :. .r dC .z � _ <br /> A <br /> 13 ® !rine <br /> - ' ` . The..;3►. <br /> abol✓e de ive red t <br /> 1 Am <br /> ♦ago.(a <br /> akpow (specify ® is vis an accwacs kaik ra+cr la <br /> q <br /> :=_Dopar( p� H alto: s;�saa>-iOt'.a al..- .,.,Ca:. i'estzl•-C .:,ria. <br /> Las _ -'�'-- - tg a-•.. .. ._._._.� �• ,.. _ _.. <br /> Cao .c.a rs;i <br /> tustz: <br /> phenolics. solvents (list), mataks (lilt), t �tiar <br /> -rsarlt's (list), `T,aida) r v! <br /> C' {ages! n rel sty .r::-1!sttlria*,-ais so. <br /> co r* <br /> f <br /> v sr <br /> Lw/ Y^ <br /> n <br /> 2 � _— .......-► El Staposal (specify). pct+d <br /> 4...1-. <br /> ifwaste is bald for dispsssl 1 cise- =-r 1 r;mss; t, S'•._^ ..�...,..�...�,,d�...,s _� <br /> Dtiposal Date: // _ <br /> I certify, for declare! inn-1 r <br /> 6, of pet3ar} that the <br /> and corns^—, <br /> out <br /> + <br /> T trogertte! ! iisati: - <br /> pH ..� tesic flsae®ahla [9(unre��ry euplestve .,,d s«._ns to the <br /> Thp site operator arcs.. a.uK:• s P ., r.+ .- <br /> s,, gal t.`ns baMI. otlsr Stats Department of health with .mthly fee ieports. <br /> 42 <br /> Cmuiwra; _` �dswascartons 0 h Dothan <br /> ftysical Statet ®solid �iiquid nalvdas pother + <br /> p <br /> Special ReadlIfts Instructions (if arty)+ <br /> start• is to tho brut of way ability and it was delivered to <br /> a.U .liquid wont. hauler (if appl e). P4l� IlfFbRKATIQI f. 4 ,:°.I,I� OR E11CY <br /> ERIALS <br /> tgW test declare) undbar poria :�/ �' ( P.A JUT CALL � ? '134 <br /> sof porfiurv.that the fareQoinq !s crus /i/ <br />