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• TF NUMBE MKT-S-93001-2 <br /> NON-HAZARDOUS WASTE TRANSPORT FORM <br /> GENERATOR INFORMATION <br /> AMB: MOBIL OIL, CORPORATION ATTN: EARTH <br /> ADDRESS: 3225 GALLOW RD. IW210 <br /> CrrY,STATE,ZIP: FAIRFAX VA 22037 PHONE#: 703 846-3000 <br /> DESCRIPInON OF SOIL 301LOBNEAATED DURING DaILUNG1EXCAVATION EVENT <br /> R GENERATOR CEXTWMS THAT THIS SOIL <br /> As aFscasaeD IS wowaAzARDov: (Typed or Printed full name is si8nat e) (Date) <br /> SITE INFORMATION <br /> STA N JOB# ADDRESS CY <br /> 1 M-04-343 30311-SS 500 E. GRANTLINE RD., TRACY, CA <br /> i <br /> 2 <br /> 3 <br /> 4 <br /> i <br /> 5 <br /> 8 j <br /> 9 <br /> 10 <br /> 11 <br /> 12 <br /> TOTAL CU. YARDS: -� <br /> TRANSPORTER INFORMATION <br /> NAME: - BALCH PETROLEUM <br /> ADDRESS: 930 AMES AVE. <br /> CITY,STATE,ZIP: MIL.PITAS, CA 95035 I f PHONE#: 408 942-8955 <br /> TRUCK ID#: ,57 Pkwe w i3 <br /> (Typed or printed full acme&sigrsansre) (Date) <br /> TSD FACII:I'I't DiFORMATION h -frrll <br /> AME: MCKITTRICK WASTE DISPOSAL SITE <br /> 4v <br /> ADDRESS: 56533 HWY 58 WEST <br /> CITY,STATH,ZIP: MCKITTRICK, CA 93251 PHONE p• (8052762-7607 <br /> RELEASE M: 493-240-I0 nLu <br /> *03 <br /> (Typed or printed nam &signature) (Date) <br />