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TF NUMBER: MKT-L-93008-1 <br /> f' NON-HAZARDOUS WASTE DATA FORM <br /> GFXgRATOR INFORMATION <br /> NAME: MOBIL OIL CORPORATION ATTN. EARTH <br /> ADDRESS: 3225 DALLOW RD.,1W120 <br /> CTTY,STATB,ZIP: FAIRFAX, VA 22037 - PHONE#: (703) W-3000 <br /> DBSCR MON OF WATERT MONR9AW0 WELL PUROE WATER AND/OR DRIUANO DEMN WATER. <br /> IM awmAmcam IF=THATTM WATER 47-1 D__ "'t <br /> As DFU=M u Noll-KAZARDOus (Typed or printed full name&signaty (Data) <br /> SITE INFORMATION <br /> STA# JOB # ADDRESS GALS <br /> 1 M-04-MJR 30552-PW 2030 WINCHESTER BLVD., SANTA CLARA, CA 14 <br /> 2 M-04-343 30572-PW 500 E. GRANTLINE BLVD., TRACY, CA 277 <br /> 3 M-10.3 0 30298-PW 1404 SOUTHGATE AVE. DALY CITY, CA. 165 <br /> 4 M-10.661 30560-PW 257 COLLEGE AVE., SANTA ROSA, CA. 52 <br /> 5 M-10-J92 30581-PW 1404 SOUTHGATE AVE., DALY CITY, CA 25 <br /> 6 M-99-UCB 30573-DW 30971 UNION CITY BLVD., UNION CITY, CA. 47 <br /> 0 M-04-F2M 30551-PW 155 N. SANTA CRUZ AVE.. LOS GATOS, CA. 273 <br /> 8 M-10.110 30534-PW 1024 MAIN STREET, PLEASANTON, CA. 85 <br /> 9 M-04-BWB 30547-PW 1975 WEBSTER ST., OAKLAND, CA 52 <br /> 10 M-10-FMB 30510-PW 580 EL CAMINO REAL, SAN CARLOS CA 500 <br /> 11. <br /> 12 <br /> TOTAL GALLONS: 1,490 <br /> TRANSPORTER INFORMATION <br /> NAME: BALCH PETROLEUM <br /> ADDRESS: 930 AMES AVE. <br /> CTTY,STATB.ZIP: MILPITAS CA 95035 PHOVNE)a: 408 942-8955 <br /> TRUCK ID N: PETERBILT HURSCHEL WARD - 3-Pkz <br /> (Typed or printed full name&signature) (Data) <br /> TSD FACILITY INFORMATION <br /> NAME: MCKITTRICK WASTE DISPOSAL <br /> 110ADDRESS: r` 56533 HWY. S8 WEST <br /> CTTY,STATE,ZIP: MCKI T'TRICK,CA 43251 - w PHONE : (805) 762-7607_ <br /> RELEASE#: 792.587 PS a11 i*) GCS. <br /> (PLEASE INVOICE BAL /r� (Typed Vr printed ful! ame& signature 7� (Date) ` <br /> I tt <br />