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NON41AZARDOUS WATER TRANSPORT` FORA <br /> GENERATOJt INFQRMATION ' <br /> ' Sem cWTONER INFORMATION <br /> MWeSt� sr6osrd N= Envuwunentai <br /> ftalwe st vclrto�u, Ga. 95'�03 <br /> RE.9MWr04 OF WA.TUC TX*WWr&nrrwt <br /> XCN4 tZARDOIIS wAM WATER,Alp q M1ELL P1Jr1M WATER AND/m AMM MUM TANK AFISATE OR AWA <br /> ' MOUX0 WATER TP4 WATER MAY C�Ail1 DtS.9 "o ")WCk"ONS. I CFRTFY THAT THE ABOVE w*qW ILATMAL <br /> O�W AMA_F"40 CFR ZCTA (b)(1 O)AND OM NOT MEET THE M.MA OF�OIJS WAITS AS - <br /> ANO P AHY1Cxfe 1 T CR MAY G'TM APpm- B E STAVE LAME,HAS Kw Y . <br /> i � Tom. �Ar+o 6 N PRDM COMMON FOR TRAAi9�MATM M��E <br /> a4mteNAutharss.a - <br /> ' <br /> SATE ImFARuATfON _ -- <br /> 800 West Chi <br /> St0cj{*0j j <br /> m �5�2o3 NET <br /> 7A� <br /> TOTAL"LUM <br /> osura�c as+rft par ucu <br /> TRMSPORTER WFORMATION <br /> Lhuve�l Envru <br /> vrone.r W Truck 1Q <br />' Driver- - <br /> FMM PA tiimc a Alge data <br /> Till= <br /> T641k. IN <br /> Tit6 VOT <br />' ► _ DISPpSItL" FACILITY -I ORMATiQN <br /> 5e4port Env,rOnmental Approval Number Solrd4 wwz pm <br /> 6T5 5c71part Boulevard <br />' Reftm*d CstY. G 94063 a O t - 173 <br /> Pb=*-' (65C) 3s4 iOz� <br />' Solids surchArvf <br /> 4A= <br /> M 19 Gs <br /> - <br />