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03/23/99 15:52 '®'707 740 8297 ALL WASTE Z004/004 <br /> d—lb-1259 4=02PM FRIM SEAPORT 16$03641021 <br /> P. 1 <br /> 1 �. NON-HAZARDOUS WATER TRANSPORT FORM <br /> GENERATOR INFORMATION <br /> CLl TQ3CM. WORMATION <br /> 103 03 E E A7lwas <br /> t,Prp,CaSi Yazd iCl <br /> 1St +4M1f)IP Services <br /> Stocktm fa <br /> PO it <br /> DESCRIPTION OF WATER: Tank Rinme <br /> NOM4AZARDOV3 WASTE WATER, MONITORING WELL PUK.M WATER ANDrOR AUGER RINSATE. TANK RtNSATE CR ABOVE <br /> DESCRIBED WATER.THIS WATER MAY CONTAIN DISSOLVED HYDROCARBONS. I CERTIFY THAT THE ABOVE NAMED MATERIAL <br /> IS A LIQkAO EAEMPT FROM RCP*PER 40 CFR 261.4(b)(1@}AN9 DOES NOT MAcET THE CRITERIA OF HAZARDOUS WASTE AS <br /> DESCRIBED IN 22 CCR ARTICLE 1 I OR ANY OTHER APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. <br /> CLASSIFIED AND PACKAGED AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APOLICp,BLE <br /> REGULATIONS. <br /> GCnerat Or/AUthorised AgC71t <br /> SI date <br /> SITE INFORMATION <br /> 103 E St <br /> Stocktcln EQtu�*�- <br /> Ca <br /> S <br /> oer ux. <br /> TRANSPORTER INFORMATION <br /> A11W35te Truck 10: <br /> Driver- <br /> Print full name 6 Sign <br /> date <br /> TORE Old <br /> Tw*Nf <br /> TIME SPENT <br /> q; <br /> DISPOSAL FACILITY INFORMATION <br /> Seaport Environmental Approval Number Solids %Wt <br /> S Seaport B.OUICVartt P H <br /> 1177-S <br /> Redwood Clty, Ca 940.63 <br /> Phone (65Aj 3-6t 1024 <br /> Solids SUrch2rge <br /> vWSG <br /> Received by: <br /> Print full name 6 Sign <br /> date <br />