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Jul 11 02 02: 17p Olde Lockerord Winery 209 727 9773 p. 2 <br /> 07/11/02 THU 14:ol FAX 510 287 :1 EBxuD SOURCE CTL IX 002 <br /> �i� TRUCKED ON-HAZARDOUS WASTE <br /> EBMUD DISPOSAL PERMIT Terms and Conditions <br /> Liquid Waste Acceptance Agreement <br /> 1) Permit Holder: Copperford. LLC <br /> ).) permit Number: 2241 <br /> 3) Discharge Number: 2241 A <br /> 4) Soruee of Material to discharge: <br /> ny Name Address Matcnal Cornposinon L5timared Volumc <br /> (gallons/measured unit <br /> [CLopp.rriwd"'Ll' <br /> C 11d70 Locke Road,Bldg. 100 Wintry Waste(99"/. <br /> LoCkcford.CA 95237 water do I%wine lees <br /> 5) Transporter information <br /> er Company Nome and <br /> Truck DcicriP tion Truck Truck I.D. Tractor I.D. Tank <br /> Transpos <br /> Phone Numbct License Number Number Gpeeuy <br /> Numbcr allons <br /> Cherokee Freight Linc Set Anach-mcnt <br /> 209/931-3570 <br /> Jack <br /> 6) Describe known and potential pollutants in this Waste <br /> W ine Lees,KMB S,Bentonite <br /> 7) Fees for Discharge of Trucked Waste <br /> Copperford, LLC shall pay SQ,QS/Tallon for hauled truck Waste discharged to the <br /> EBMUD WWT? The fees billed for the discharge will he calculated based upon the <br /> full volume of the transport vehicle. The District will bill waste transporters monthly. <br /> Permit Hol r s Signature <br /> S at Date <br />