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Page 2 of 2 <br />Is the residual accessible? If no, explain: <br />What type of facility is cwTently on the site? <br />For bulk shipments, who will supply loader? <br />SAP Cost Center# (Non Remediation) 356.164 <br />Material Description: SORBFXT 'I'f7t1TELS WITH RED DYE -- THESE TOKELS ARE CLEAN AND <br />HAVE BEEN WASHED BY M. L. WINTERS <br />NO <br />Process for generating this residual: SPILL CLEAN UP <br />Accumulation Date: 2/23/2005 Sampling Date (if applicable): <br />Type of container: <br />Drums Quantity. 1 Type: 55 GALLON DRUM <br />Dl urn ID #S: D-1 <br />Bans Quantity: —0 Size: <br />Bin Supplied By: <br />Bulk pile: No <br />Size: (estimated cubic yards) <br />Other (Frac Tank, AST, UST): <br />Residual inspection to be handled by: ALLIANCE <br />Requirements/cvnditions associated with pick-up: <br />Comments and/or suggestims for local vendor. <br />Form filled out by: zNgg a, 1M ?hate: 2/23/2005 <br />Phone:209/466-6941 Fax: 2094622792 <br />Emag Addrfts: bamm atteagga gMs . cam <br />NOTE: IF VERIFICATION FORM IS NOT RECEIVED BY CONTACT WITHIN FIVE (5) DAYS OF <br />SUBMITTAL, NOTIFY RITC OR OTHER CRMT REPRESENTATIVE. <br />about -.blank <br />7/23/2005 <br />a`cl sh saonpoid Ia0 iia4S 9'b=e1 9002 92 unr <br />