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n <br /> r 1975 <br /> µ "� <br /> �CA <br /> 41 <br /> Boa: Aye < <br /> STATE DEPARTMENT OF HEALT"PRODUC : <br /> BR OF WASTE (must be filled by producerL r"! T HAULER OF WASTE (M 1 ust be filled by �aular} <br /> Nave (print or.kype): <br /> (yalAt o! tyye)► C,Je No, � ga. <br /> Addnas: a knees Address. <br /> ama Is <br /> PLek *� trxc <br /> treetl cyR / Timefps► <br /> Telephone ber: P.O. ar cantzact R®,- <br /> Tele airs PhrsuFar; # ck t} <br /> Date: <br /> Order Plated Hy' <br /> Mats i. aid yzs9te �,a ?�,•, _ >�_ gin. of __�., g,;_e); <br /> tub No. es's c n r a r.•5 ',c. <br /> Tvpe of Prccsas w <br /> wbich Pre csd 5:estes: %` ? <br /> ' d.w.r.r e. <br /> (Examples: Leta plat n ,'eauLy+aent`elssrin6, _olv drilln vs +a Ttt ��r`�e wgctac <br /> v3�tevster treat"nt, picMing bath. petroleum refining) w _ .s � waste was <br /> :ate+`=al <br /> pt,�:•= <br /> a bf '2Y„ a s_e,, <br /> n gid. <br /> +'? ?r�v OF WASTE Ofli 2 be film d producer) • <br /> . T .ezr.f, <br /> o f per}v y t?�a <br /> CPeck the of siez. s. <br /> Ac'sdl s zlution 8, "} Tana 'sauttcam bei sat. and c'3rTect. <br /> v: _a v sut.,as,e � <br /> .�; Pestis�aes <br /> 10 s�latg z 1al tai t � . <br /> b <br /> .c Cast netedsaE <br /> w, i�j P1Snt eIv3sa` �� <br /> Ss vrr 1 a� Csr�^:ery waste s ;pt#s f or i f� �� � <br /> < d: c <br /> "'' aee-�cc -2 kea� sledge 13, � Latex waste _ <br /> a. tcd c» atg,. l<. an-1 wst+- :e� Arc a <br /> le 0 Brine <br /> the li'atxler � z,. a <br /> a u <br /> gtkxz { gesciLyi < gt at ~ sv * std <br /> s :� � s a.. <br /> ..r°� partms„r f tt�#$ 8 w a ss a' ax re tz -is ,t,s <br /> Phe�e-limos, sa,1=:«xat� �;, . �t�_R ,.ist}� !?fir �e� . -• <br /> rzsi,.r {list) -�ia`t ' <br /> t,�� <br /> Lj <br /> .� <br /> ` 835; <br /> l'awposa, :3s7zeadinE <br /> »...,...... _ �,,._.s <br /> -,# ssasts it1 £cr �- - : <br /> �;p—I <br /> certi* os: <br /> Li <br /> I4azRrdays Fxapsstea xx kes:.: <br /> rl f1 °'-1e ca#tmsi 40, asyloet #E <br /> arator aa, ac 16-4 s C � .'. ,_ to the <br /> al ant <br /> 15barrels ether state Department of kaals.h --hly,° fie aepx.re�, <br /> —1 L <br /> C®IIL.a. ers• Y d -- <br /> �Agi <br /> �.� .. ei <br /> ph.aSde; States �( alid 'iq.t,i slma ��zhe. u <br /> ;�}sei�yp <br /> elal Mandling lnstxucclo+a <br /> The waste is described to the beat of my ability and it vas deliver to <br /> a Ur-ansed liquid waste hauler {.if sFza. ei. FOR INFORMAT1018P.-ux OR MR= zVoGacas <br /> _l c+artify tor`declare) ,Andor penalty. ;3 -.< <br /> of *ha_ tt,.e for gins is t rue <br />