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jun-01-01 04 12 5eapart. PetralOum 650 3541021 p <br /> Seaport Environmental <br /> NON-HAZARDOUS WATER TRANSPORT FORM <br /> CUSTOMER 4NFORNIATiOM <br /> GENERATOR INFORMATION Atlerlcan Valley Waste Oil <br /> Advanced Geo Envl•anmenta <br /> ' vo ous <br /> PO# <br /> Ca <br /> ' DESCRIPTION OF WATER Mpnitoring well devejopment <br /> NON HAZARDOUS WAVE WATER MONITORING WELL PURGE WATSR ANDIOR AUGER RtNSATE TA11K KINSATE OR ABOvE <br /> CEASCLRIBE)E WA,7ER <br /> T THIS <br /> rZ TER MjkY PER 4 OCFR NTINAIN G1 4 (hDISS�O)AND DOES NOT MEETI <br /> LVED HYDROCARGIONSITHE CRITERIA OF HAZARDVUSMED WASTE Ab <br /> MATERIA� <br /> GESCRIDED IN 22 CCR ARTGLE ii OR ANY OTHER APPLICAOL€ STATE LAW,HAS BEEN PROPERLY f)ESCRMED <br /> CLASSIFIED AND PACKAGED ANI)YS IN'PROPER CONDITION FOR TRANbPORTATION ACGORUINC,TO APPLR ABLE <br /> ' RE(3lJ'_A IONS. <br /> n � <br /> 21 <br /> 1 GeneratorfAWharlead Agent Slpn dale <br /> 1 SITE INFORMA710N L <br /> Various 4�7 �vlo, 1�OL SU►� <br /> 1 TARES <br /> �. <br /> c� LST)/ NE7 <br /> 1 1OTAL GALLONb <br /> ulna�isd�I 4 74ihe pr U i�: <br /> ' YRANSPORTER 1NFORMA'17110N <br /> Trunk It] <br /> ' American Valley Waste Oil <br /> Driver <br /> Print full name&sign date <br /> TIME C1UT <br /> 1 � T1h,E IN <br /> TIM2 SPENT <br /> 1 <br /> i2isPOAAL FACILITY WFORMA110N EPA,ID,CAL 000032018 <br /> 1 Seaport EnvIronmentat Aopmvel Number 6ollds%Wl PH <br /> 675 Soaport Boulevard 3I3Z 584 �p p I i <br /> Redwood City,CSI 94063 <br /> 1 <br /> Phan* (SSO) 3641024 '~ <br /> 5olltds Surcharge <br /> ¢fLISG <br /> RoCtived by ��------ <br /> Print full name&sign date <br /> 1 <br /> 1 <br />