Laserfiche WebLink
' 3-15-1999 4:02PM FRC"' SEAPORT 16503641021 <br /> P. 1 <br /> Jam•• NON-JAAZARDOUS WATER TRANSPL)RT FORM <br /> r <br /> GENF1tAOR LNFO$MATION <br /> C"`STOb(ER- IXFORMATION <br /> Tiegett Precast Yard �aste! <br /> 103'� St AffR Services <br /> Stockton Ca <br /> PO # <br /> DESCRIPTION OF WATER: Tank Rinsate <br /> NONhNA2ARDOUS WASTE WATER; MONITORING WELL Pt1RGE WATER ANDYOR AUGER RINSATE. TANK RWSATE OR ABOVE <br /> DESCRIBED WATER. THIS WATER MAY CONTAIN DISSOLVED HYDROCARBONS. I CERTIFY THAT THE ABOVE NAMED MATERIAL <br /> *A LfQLC EXEMCCR ARTICLE PT FRG4+RCRR PER 44 CFR 267.4 (b)(7 CyAND DOES*NOi ME£T THE CRITERIA OF HAZAP.DOU6 WASTE AS <br /> ER <br /> CLASSIFIED IN22 <br /> PACKAGED AND1OR ANY IS IN PROPERHCONDITON FOR TBLE TRANE,SPORTATIONLAW, HAS BEEN gCCORDINGE TO APPLICABLE <br /> REGULATIONS, <br /> Generator/Authorise Agent -fir 1s[eJ_ �P Y -7 <br /> S gn v date <br /> SITE INFORMATION <br /> 103 E St <br /> Stockton GROSS <br /> TARE <br /> XET. <br /> TOTAL GALLONS SOD 741-e <br /> CRICubced at 8.311&-per US(i <br /> TRANSPORTER I'NFORttAT,ION <br /> Alttvaste Track ID: ,S� �c,#�{L 3?6,79_ <br /> Driver- $ C-O�ZF. L/D�G-� ,3 aha/Cl% <br /> Print full name b sign <br /> dot <br /> TIME.OIU <br /> TIME IN <br /> . TIME.SPENT <br /> DISPOSAL FACILITY INFORMATION <br /> Seaport Environmental Approval Number Solids %Wt PH <br /> RedSeaport B.oatevartt <br /> Redwood C3.ty, Ca 94063 <br /> Phony. (E+SQ) 364 1024 <br /> Solids Surcharge <br /> S/USG <br /> Received by: <br /> Print full.name 6 sign <br /> date <br />