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voomwme i97S <br /> STAU,VA'nE'A RE <br /> STATE DEPARTMENT OF MEAlT#i <br /> SER OF WASTE (must be filled by producer HAUL OF WASTE f his# be tiled by 1pntsr) <br /> (Print r ")s C NGS' <br /> AAdsesas t busir.css ° 'cress: city yy <br /> Aiek up treat, ty 'h+talae irraLam t <br /> .eic 'c f ixrs eu`. Pick Ups �.8�/ <br /> Telephone Nmbarx antract eat <br /> I1 <br /> at,_.e L "aete *yak'_=_z a kegiscration 30, `if a icab:e) <br /> D's te., �v r <br /> order Placed r4: <br /> _.......,� ..», <br /> as <br /> r* <br /> , <br /> yps of Process ' <br /> which Yroducsd Bastes: <br /> £xi"plas: eta plat eg, sGui It <br /> clean ng, .oii drill `s - =,,de sc. � � .-za; Asa z Wxfck >st els, <br /> tyt <br /> vsst,"tt: tree nt, pickling bath, .petroletim rcfirzingi 99 <br /> t weact,2�ed as: was }tiaalec by sa to d;aPCAa, <br /> . sv a=,o was gyp► <br /> P RTZYTION OF WASTE �stiE' be .fi ilt-d by pro Iucer) _ � .cn ,-*v 6 ' <br /> Cbeck vspe of wastes: b w ct , <br /> 1. � Tank bottom sa.l. e:zt, anal t. <br /> � � 2v�'i,n <br /> z1 <br /> l. '® as at'des ifl. 0 �.illtEb scud 4 ts_ <br /> L. a hated 401-1 OU4 Ak x o: t a <br /> 5. 0 ., 12, Cannery waste � <br /> al.ssa*e 13: LataY waste <br /> ot <br /> c .est.c 14, ?a A}ud as a; 1__ i <br /> 15. brine <br /> 4 „_ an e ron the ;a�a r � p a <br /> n Ph reu4»� 5. <br /> tzar cify3 ice. it <br /> ttan <br /> tib roe ' s„ mi Hca. re�t.tctjr;s, <br /> C x <br /> .B „ics P , data d; rsrz c' :13'r`y plbssr' <br /> 4 � <br /> F ar 5 $fiat;., C'y.`e�x'.ej s _ <br /> T � <br /> y 7 wa <br /> f�s .. <br /> -�. r rr aaxdi� Jaremdi <br /> � a�a rs ,,trsXisiiti y*stip �,,a+� csse �^. <br /> u� i�� +.-m ?ase tey <br /> $ � es.ta at uelC +'oz <br /> , <br /> ._..�. ,.. .. ...� _....... . --_ F <br /> F re <br /> iianstauva Pzs:eerriea iras.e: all <br /> rgl,:�°vs- <br /> ,x <br /> s r>r,.. Stn e e a %Ant r ta:: a:a t a a ant e it :y <br /> .v. J aI ns <br /> barrels atiar date re ail anti of is_al.z >,Lfs m�a.£al tire tom, <br /> i <br /> Cor,C&1,ezaS jEl <br /> ;W.be . .rasa ;n.td7s �,.iga otnec <br /> a$etifq <br /> Fbyalcx3 stseex }x:•iaQ �1I1 >t; �aiu$ e st4amr <br /> eactey <br /> Special !1,&f%diAn8 instru:tb 's <br /> Tt%* waste is described tc the beet of my ability and it was delivered to <br /> • iiceg%aed liquid waste hauler lif app: 01. INSTI T+t3 Rel <br /> t; certify ;or d(sclar®? ruler pensity ,S VASTS O$ IA LL - 424 <br /> of o*ariury that the foregel;nq is °-ue ma <br />