Laserfiche WebLink
Jan 22 03 10: 09a 949-589-7910 P. 2 <br /> Jan 21 03 00: 15 Excell Excavating Inc 549 248 2285 p.3 <br />' wr- 1750 <br /> NON-HAZARDOUS WASTE DATA PORIA <br /> Z 5-A" <br /> NAME Rtshtiectur+e Petroleum markou Services Ine. -lzme%& <br /> ADDRESS 11511 U.S. Hlghllray 301 Narth <br /> CITY STATE ZIP Thanctosassa, FE 33592ZS12rxIC4,,,.),4J. PHONE NO 813 986-2443 <br /> Q <br /> CONTAINERS NO Vn-- - — varumecy �e WeGWIIONS_ <br /> a <br /> Q <br /> lu TANK DUMP <br /> TYPE- © TRUCK ❑ TRUCK .�UWS ❑ OTHER <br /> m WASTE DESCRIPTION WATER CZNERAnNG PROCESS Q2COi!/(�il'DU11i�W8fer <br /> COL1IPOn%ENT5 OF WASTE PPM% COMPONENTS of WASTE PPNM <br /> WATER Q! 1: 3 <br />' m SME ADORE93 r? u O A U <br /> m <br /> PROPERTIES PH-J O- ❑ SOLID uQUIO ❑ OTHER <br /> HANDLING INSTRUCTIONS <br /> TFIE <br /> GENERATOR CERTIFEES THAT <br /> THE WASTE AS DESCRIBED IS 1OQ'Yn k��56dn _ <br /> Nf�11'HAZ4RDO7l8 TYPED OR PRINTED FlRL NAME&SIQNAYIJ DATE <br /> NAME L <br /> ADDRESS <br /> a' CITY,STATE.ZIP : r �, �} PICK-UP DATE <br /> z (a / <br /> TRUCK UNIT 10 NO TYPED OR PRINTED FULL NAME A SIGNATURE DATE <br /> NAME^ Crosby&Overton �. <br /> QAODRESS 1530 W 77th Street PROFILE NO <br /> CITY STATE TIP... <br /> Long Beach,CA 90813 -��- <br /> PHONE NO f 56 ) 432-5445 <br /> UJIf <br /> 111 - <br /> Ilk/.� ! ..�rr'7,[.]. � Y `- <br /> � - <br /> ,_._..i <br /> TYPED OR PRINTED FUM-NAME S DA'Z'E <br /> White-FACILITY COPY Yellow-GENERATOR COPY Pink-TRAKSPORTATION COPY <br />