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LIQUID WASTE MANAGEMENT, 1*- 42489 <br /> ' STAR RTE. BOX 4, CORNER HWY. 33 AND HWY. 58 <br /> MCKITTRICK, CA 93251 <br /> (805) 762-7366 Approval# <br /> ' Lease Scale Ticket # <br /> Well# _ <br /> /S <br /> Ph# 7 �> <br /> Approved Disposal Site Operator <br /> ' McKITTRICK LIQUID WASTE MANAGEMENT, INC. <br /> LIQUID WASTE DISCHARGE REPORT <br /> ' <br /> A. Liquid Waste Source: <br /> Company <br /> Address <br /> Description: soil - Brine Drilling Mud Other <br /> ' B. Licensed Waste Hauler <br /> t <br /> Company <br /> Address <br /> Tmdc# <br /> ' C. Delive Date: D. Invoice: Hauler <br /> Date: / Waste Source� - <br /> ' Quantity /Z O Ton Wash Out @ $ ea. <br /> Cost Per Ton ' Total Cost <br /> ' 'I certify that the above closcribed waste was hauled to this approved disposal site and was an acceptable <br /> waste as estqbliherby-C4er No. 72-256 of the California Regio ter Quali ontrol oard.' <br /> Signature of Disposal Site Operator HAULER Signature of Licensed Hauler <br /> a <br />