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Feb-- 10_00 00 : 10 SeaPort Petr-oleum <br /> 650 3641021 <br /> Seaport Environmental <br /> NON-HAZARDOUS WATER TRANSPORT FORM <br /> r <br /> GENERATOR INFORMATION CUSTOMER INFORMATION <br /> MP EnV1.011mentp� <br /> MP EnvlronmentaLor� <br /> various sites <br /> Ca PO4 <br /> DESC'itiPTION OF WA rER MDnitoring Well Sampling <br /> NON-HAZARDOUS WASTE WATER MONITORING WELL PURGE 1VATER AND/OR AUGER RINSATE T ANK RiNSATE OR Ago +E <br /> DESCRIBED VlATER T141S WATER MAY CONTAIN DISSOLVED HYDROCARBONS I CERTIFY THAT THE ABOVE NAMED HA7ERIA- <br /> 15 A LIQUID EXEMPT FROM RCRA PER AD CPR 261 a (b)(10)AND[)GES NOT MEET THE CRITERIA OF HAZARDOUS VIASTE AS <br /> DESCRIBE() IN 22 CCR ARTICLE 1 i OR ANY OTHER APPLICABLE STATE LAW HAS BEEN PROPERLY i)ESCRIBED <br /> CLASSIFIED AND r'ACKAGED AND IS IN PROPER CONDITiON FOR TRANSPORTATION ACCORDING To APPLICABLE <br /> REGULATIONS49/5 <br /> GoneratorlAuthorised Agent Slgn date <br /> SITE INFORMATION <br /> various SIteS GROSb <br /> TARE <br /> Ca NET <br /> TOTAL GALLONS 'z G a R 12 SE <br /> TRANSPORTER INFORMATION <br /> Truck ID �—�� <br /> MP Environment <br /> Driver /C G <br /> Print full name X sign Cate <br /> TIME OUT <br /> TIME IN I Z^F <br /> TIME SPENT <br /> DISPOSAL FACILITY INFORMATION EPA Ib CAL 000032058 <br /> Seaport Environmental Approval {dumber Sotlds %Wt pH <br /> 675 Seaport Boulevard <br /> Redwood City, Ca 94063 <br /> Phone (850)364 1024 <br /> So Surch e <br /> � SG <br /> J <br /> Received by <br /> Print fust name 8 Ogn a <br />