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p - w <br /> TRANSPORT FORM #: ?'3 <br /> NON- OUS WATER TRANSPORT FORyi <br /> GENERATOR INFORMA-nON <br /> NAME: R=Markct Att MarkUS I�d=XWk <br /> ADDRESS. 4.491 Durham EcM Rd <br /> C=,STATE,= Traeti CA PRONE* 209,435-7554 <br /> DRSCW7n0H OF WATER MONLSORM l M.L MOU`QDWATM WWACTRD W rM WfMOCARWM FROM A 1.fS'r MCM <br /> (QR7TFY TitAT THiS MATRRIAL I$A 1]QUm FPi81�'i FROM RCRA PIDt sp GFA 2S1 0(731(t�A1'�A(}6S <br /> Nar).M=TM CnF or HAY�lX000S WATT AS D89CRD39D 1N=CCR AATXMZ 11 oa AM MlgM APPUCAILLZ <br /> STATE LAS AAS MWN WROPWALT B'VM GTS AND PACKAGED Ai*IS W PROPM CO" <br /> TRANSPORTA7MN ACC091XNG 70 APPU:IA <br /> ASII[ILATlONS <br /> yT rU� 1 <br /> J f�vc r✓ � J 1 <br /> CzE11 <br /> INERATORIAUTriORIZED AGENT DATE <br /> SITE INFORMATION <br /> SIZE 'i1.L1J.l WS <br /> Rxsaz&iar3e�.t <br /> 4491 Dvxham E v Rd.. Tray CA <br /> TOTAL GALLONS t I,�O0 <br /> T RA�SR`I'ER I�aOR�A'TIO�f <br /> Cleamatar Envxranrnc=al:�.°�'at Atr >:ra�e 3cr�d <br /> ADDRESS P O Box 7420 <br /> CiT ,STATE,ZFP Fn=oxrL CA 94557-742a r`rHON'E 5I()-797 gsll <br /> Y <br /> CTV_pcd oar printed fi U name&signature) (Date) <br /> RECEDING FACE= <br /> NAME SczDort'9—v,;=e=tdl <br /> ADDRESS 675§SgM S2vd. <br /> CPi'�£,STATE_ZIP Redwood 2,ty- CA. 94063 PI-IQNis�: (4I 4) 3G-}-8154 <br /> APIOVAL 512-320 <br /> (Typed or printed:Full name&signature) (Dale) <br /> i� <br /> • <br /> NO 0197 11 00 3 <br />