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WASTEWATER <br /> SAFETY KLEENI OF CALIFORN(15 s ` <br /> INBOUND LOAD SHEET FOR W ASrE WATER TREATM iT ��� � <br /> TRANSPORTATIO TO FILL OUT COM�ETELY 4 I <br /> DATE:��,' �-:1� DRIVER NAMt: 4 TRUCK# <br /> I <br /> / r <br /> GENERATOR ��Lis ��1�7 cMANIFEST# w� 5 <br /> ESTIMATED VOLUME G <br /> "�ov\�CACODE: w � <br /> COMPARTMENT# 2 3 4- 5 <br /> L) <br /> OPERATIONS TO FILL OUT COMPLETELY- TRACKING NUMBER: <br /> OFFLOAD GATE: OFF LOAD INTO_T. ANK'#: C / <br /> OFFLOADERS NAME: <br /> WASHOUT: YES <br /> - <br /> 1 LOADER'S NAME: TIME SAMPLE SUBMITTED TO LAB: <br /> i <br /> ( LABORATORY TO FILL OUT COMPLETELY <br /> CHEMIST'S NAME: /' j. el; TIME SAMPLE RECEIVED INTO LAB: <br /> " <br /> TIME SAMPLE RELEASED TO OPERATIONS: <br /> WASTE MANAGEMENT PROCESS <br /> FINAL TANK NUMBER: <br /> t <br /> SI4IPMENT TO OFF SITE DISPOSAL FACILITY (RTAF) <br /> REASON FOR,REJECTION: __------ <br /> i <br />