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-3-1S=1999 4:02PM FR061 SEAPORT IGS03641021 r <br /> NON-HAZARDOUS WATER TRANSPORT ' FORM <br /> I lr <br /> GENERATOR. L FO$KIATION C11STOb1Ed' WORMATION• <br /> _ TegectPrecast Yard n*W+ te/ -Phft 5er♦19Ces <br /> 103 E St <br /> I Stockton Ca PO # <br /> i <br /> DESCRIPTION OF WATER: Tank Rinsate <br /> NOIPHAZARDODS WASTE WATER, MORITORMG WELL PtIRGEWATER ANOrOR AUGER RINSATE. TANK PoNSATEOWAS&E. <br /> DESCRIBED WATER.THIS WATER MAY CONTAIN DISSOLVED HYDROCARBONS. I CERTIFY THAT THE ABOVE NAMED MATERIAL <br /> IS A LIQUID EXEMPT FRDI,T RERA PER 40 SFR 264.4 (D)(1 G)AND DOES-NOT MEET THE CRITERIA OP HAZApDouls WASTE AS <br /> { OESCRIBEO IN 22 OCR ARTICLE 11 OR ANY OTHER APPLICABLE STATE LAW, HAS BEEN PROPERLY DESCRIBED. <br /> CLASSIFIED AND PACKAGED AND IS IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE <br /> REGULATIONS- <br /> 2Y1 (nun f �OnNer t .-fes• \ _..�/ <br /> Gene ratorrA uth orise Agelit Srwu date <br /> ` SITE INFORMATION <br /> 103 E St GRA <br /> Stockton TARE <br /> . T0TjkL GALLONS ---Soo <br /> UiC"W at 93406 P/USG <br /> TRANSPORTER rNFOR6tAT•ION <br /> Truck ID: <br /> Allwaste ` Il <br /> Driver,, aers: C.-o�.�fy4 �.Cc�t• 1.9i� 3T/aa/ <br /> Print full name & sign dat6 <br /> � TIME-OUT �� <br /> I TMAE IN <br /> .TIME.SPENr <br /> DISPOSAL FACILITY INFORMATION <br /> Seaport Environmental Approval NYn1bU-. sones %Wt pH <br /> 67S Seaport BAolavard <br /> Redwood CLty. Ca, 44063 <br /> Phorm- (850) '9-64 1024 (� <br /> Surcharge <br /> charges; <br /> - <br /> Received by' <br /> Print GIII-.name 6 sign date . <br /> REctivto MAR 2 6 1993 <br /> 1 `i� <br />