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s 1975 x-
<br /> ��
<br /> STATE WA;II6t R£SalllsRf.ES R!#t,WA
<br /> �
<br /> STATE DEPAP,MENT OF HE Ai Ti!
<br /> OFt OF WASTE (Moat be filled by producer
<br /> HAILER OF WASTE (Must be filled by hauler)
<br /> go
<br /> CA a Nam. 4;zltype): to8e
<br /> (print or type)t fs bo. .
<br /> e ijuai:,eaa
<br /> pick up Address: N%mbe a Lrtet
<br /> }� t>-eet LY teiep ,r,. lam» +r _r 3P Ll ��� Time 4
<br /> Telephone Mmber:( P.O. or Contract ga. — _, at
<br /> C>ata
<br /> Ra, t.
<br /> Order PlacedA.
<br /> TyFez''_ Yraccst �i
<br /> tic Pxodaceeaaxe= r _.a az s,
<br /> Exacp;es: -eta plat ng,'egvipcstr.c cleaning, oil d Ili', dz 4iaa a J yeti n '
<br /> ve<tevatez treatment, pickl!,.3 tath, petroleuaa rtfir.ir�g3 � ahk. dercC,iL- d waste ass "-'`' dls�esl
<br /> '�ESCRPYMM OF WASTE (MoSt be filled by r
<br /> _'neck •�'e a' wastes:
<br /> A<;,° .,;.>.ir*, 8. gank ,�ttcsa asdiIDe..t and crse�p. yzuzlta. �a io •�+, a>
<br /> Cit
<br /> 3. 0 s icidre
<br /> aCh �ipril,ing �;4 4z�m;;b a* �;.` {,�i.,�t a. ,�s �.��Is��,�•
<br /> coil tail nated coil and >s„d
<br /> 4 i
<br /> a. dle f ter acs aF
<br /> '_" r :' dsts� 14, a:5 �a..�:. x - ♦
<br /> 4 *� Brine
<br /> _ z3
<br /> d
<br /> r»,r s cis :�+: F� ��-
<br /> that (lpecity)
<br /> r�
<br /> orfe�-ar�:a (list), ,_•r'sss7 - � ,..,,�., .. oae�
<br /> (apscir} a is I cipi a� >. ee do.
<br /> ,
<br /> ..�, •. r �z I3�tY1r
<br /> ... y "s �
<br /> �343-
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<br /> Lj - _ �;8` :,� a ";s l: t-'r di xva.'&,3'. .1.
<br /> K
<br /> ;fYFt3-l't. _ W1 LIMS
<br /> 5azaarsa'veexplo+.»+s,<" s *" . ul43 tea tlae
<br /> ^4q� .�i '? Y'�,i@t�,#a Y' a '9 _ . ,u aEt :`a7$SI
<br /> n , a3 nna sz�ele other Mete aa��agk�er9& �� r alt„ � :- a.hly tes r$pI:'r a.
<br /> 7
<br /> d� .�,a l I' � .
<br /> LAI
<br /> : 3
<br /> 33rs�ararto�se bets
<br /> �othe
<br /> rG pe �s p
<br /> flhyl cel Star*; E''iquit y�alvd�e �atlsar � n
<br /> T*,e vast* is described to the hent Of MY abilitY seed it was delivered tes
<br /> e 1Jc+wns*d liquid 'waste hbuler {i¢ aonl si, j Ii1Fflt I(W -TV) T10 SPILLS Oft Lei 104E�+OCIESr LlM
<br /> Y cRztt#y 1cF declare) anti ! genalty ! €
<br /> WASTE � NJ1� I CALL � )
<br /> of, "zary that the #'otaqo>^,q to +.zvas
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