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TPST Soil Refcyciers of CA <br /> Non-HdaatdOUSSoils <br /> DOC of SFdpmrnl: Responsiblo for Payment liaaspnrcer Truck 9: F.Hity e: Given by T'PST: IaOR <br /> A07 29131 <br /> Cprummr's Name and timing Addiess.. - Cenernwr'a Phone it. Genoiaiorb as EPA iUTIu' ., <br /> USA PETROLEUM CORPORATION -- <br /> 9M RMCHO CONEJO BLVD. P son oCdnro t <br /> NEWBURY PARK,CA 91320 FA%Y Cw ams AccaIX Numse w s TPa?— <br /> C.n,dwni s Name and Billing Address Consultant's Phone W <br /> Proal to contact A' <br /> FAX, Clartam rAeernm Number ekh TPST: <br /> S <br /> Cenemtion Site(Transport homy: (,amlr b nddrear) SFte Ph.p: BTPX <br /> Levels <br /> USA 0835 Pemon to Contact. TPH - d <br /> 2705 COUNTRY CLUB BLVD Lea s <br /> m STOCKTON,CA 95200 pAXp Avc. <br /> Levels <br /> N <br /> o tlted Fadlity(naaspvrtm) (napebaddrma) Fmilsy ptimte l:. y,% - Fedlity Pennit Numbers <br /> �'.' (80D}852 L001 <br /> `o TPST SOIL.RECYCLERS OF CALIFORNIAesou <br /> - -- - <br /> 12328 HIBISCUS AVENUE PDEU-Emxa t <br /> DELL.ENA JEFFREY <br /> `o ADELANTO.CA 92391 FAX*. <br /> ro (750)24&8000 <br /> y <br /> y nmulaler Nmne and MNting Address Transporter's Phanek 'hansponer's US EPA ID No.: s; <br /> c� (908)450.5200 CAROD13M175 <br /> BELSHIRE ENVIRONMENTAL.SERVICES, INC. ps w tvcgnr ct mnspnersDOT No.; <br /> 25971 TOWNE CENTRE DRIVE LARRY MOOTHART 450647 <br /> i; FOOTHILL RANCH,C,\928`10 FAXY Cwramrr Acroam Nwnberwvb TPST: (.; <br /> BESi: 145505 (949)450.5210 1000193 t <br /> Deealptlon tt Soil Moisture Content CaManditated by: APPMX.My. Description or Delhrery GnsasWelght Tare VYelght Net Welght <br /> s.� , � v B.f09 ❑ ❑ <br /> Clay o M. C)J 1B-3a% O Dleaet <br /> 20%-over❑� Oche+ ❑ <br /> .Send o Organa a a-1tN6 ❑ Cas ❑ f.T J <br /> 30-209: ❑ Dloel ❑ + V(p <br /> Cl.y a Oihm O p.A-over U Omer U <br /> lbt my narytlen blhmatemd atxne Scale Ticlttna <br /> Grnemtm's and/or consultant's certification: Me rot ify that the soil referenced herein is taken enh'nly from those soils described in the Soil Data <br /> Sheet completed and certified by melus for the Gnterotion Site shown above and nothing has been added or done to such soil that would after it in •'x'; <br /> any my pa <br /> Print u Type Name cnormor O cool., 0 Slgurwesod m I` <br /> Lary Mouthart of BEST on behalf of generator U <br /> Transporters certification: I/We acknowledge receipt of the soil described above and certify that such Broil is being delivered in exactly,the same ._ <br /> econdition as when received I/We further maty that this soil is being directly transported from the Generation Site to the Designated Facility • L <br /> a without off-loading,adding to,subtracting from or in any way delaying delivery to such site _ <br /> - 0 Pyre or Type Nemo: Stgna srvid.W. storm/' , [`r'7 <br /> 1 r <br /> !c'fPr �4.vCs P�ri <br /> FA"_ _ <br /> L - <br /> � <br /> a. Recycling Facility rnhfas the receipt of the soil covered by this mamfegt empt as mated abaci: _— <br /> uPim or"Nava: S,puma' d dem <br /> 0 JEFFRFWJ PROVANSAL (_^ f 0TL <br />