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0 <br /> SOURCE RECORD BILL OF LADING WELL I.D. GALS.. WELL I.D. GALS. <br /> FOR NON-HAZARDOUS PURGEWATER RECOVERED FROM t4 Z <br /> GROUNDWATER WELLS AT : <br /> 4 2c0 Otak?–Lt <br /> Client <br /> 1 / <br /> k Fzco a LC SCS <br /> Site Name / 1 <br /> Street Address <br /> City, State 1 ! <br /> added equip. any other <br /> rinse water I adjustments I <br /> THE NON-HAZARDOUS PURGE- WATER WHICH HAS BEEN TOTAL GALS. loaded onto <br /> RECOVERED FROM GROUND- WATER WELLS IS RECOVEREDQ BTS vehicle # <br /> COLLECTED BY THE CONTRACTOR, MADE UP INTO <br /> LOADS OF APPROPRIATE SIZE AND HAULED TO: BTS event# time date <br /> 0ZG0%OCA —0-44 <br /> signature <br /> REC'D AT time date <br /> The contractor performing this work is BLAKE TECH SERVICES, 1 I— <br /> INC., 1580 Rogers Ave., San Jose, CA 95112(phone [408] 573-0555). unloaded by <br /> signature <br />