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RESIDUAL JNPQ MATION PICK-UP REQUEST (RIPR) <br />Shell Pipeline Company LP <br />P. O, Box 2548 <br />Houston, Texas 77252-2648 <br />Page I of 2 <br />RtPR Number: 42562 <br />Date Submitted to CRMT: 2/23/21)05 <br />This form must be filled out completely and all required analysis attached. FAX to the Residual <br />Disposal Coordinator for characterization and transportation of material. <br />RDC: SONDRA BIENVENU <br />(email: SONDRA.BIENVENUOSHELL -C phone: 71.3/241-5036, fax: '113/241-7646] <br />Alliance Contact: TANNER, 1411E <br />Fwoon/DisGriCt/Aiea: SHELL - DIST. - PACIFIC NORTH Phone: 209/466-6941 Fax: <br />2094622792 <br />Facility Address: 3515 NAVY DRIVE <br />City: sTocKTON State: CA Zip: 95201 County: SAN ZPAQUIN <br />x Non -Remediation (Tech Services) <br />SAP Cost Center # 356164 <br />SAP Cost Element 707542 <br />Other Info. (e.g., Facility Ila #) <br />OR <br />Remediation (S&E Only) <br />S&E incident #: _ <br />SAP Cost Element: 276501 <br />Other Info. (e.g., LPST ID #, Facility ID#) <br />Direct Pay / Alternative Funding: <br />No Reimbursement Invoice Copies To. <br />Company Name: <br />Address: <br />City: State: Zip: <br />Contact: Phone: Fax: o <br />Do you want standard pickup? YEs <br />If no, specify date: time (f necessary): <br />Is the site in operation? If no, is it locked? <br />about -blank <br />2/23/2005 <br />j•d OBL229�600 sn sgonPQid Ito ria4S 9fr:Ei 9002 9a Unr <br />