Laserfiche WebLink
(MCTF36-1) TF NUMBER: MKT-L-93036-1 <br /> NON-HAZARDOUS WASTE DATA FORM <br /> 9 c2 <br /> GENERATOR INFORMATION <br /> NAME: MOBIL OIL CORPORATION, ATTN: EARTH <br /> ADDRESS: 3225 CALLOW RD., TW120 <br /> C1TY,STATE,ZIP: FAIRFAX VA 22037 PHONE#: (703) 846-3000 <br /> DEXINTM OF WA'iM MON]TORING WELL PURGE WATER ANDJOR DR AINO DGCON WATER. <br /> GENERATOR CE3tTff'i8iT1[ATTlLLt WATER ar <br /> r <br /> A:DRICRMED u NON-HAURDOut (Typed or printed full name&signatu (Date <br /> SITE INFORMATION <br /> STA# JOB# ADDRESS GALS <br /> 1 M-04-GPE 30877-PW 229 "E' STREET MARYSVILLE CA 296 <br /> .2 M-10-G9B 31031-PW 404 W. HARDER ROAD HAYWARD CA 48 <br /> 3 M-10-FYS 31006-PW 375 ARBORETUM ROAD, PALO ALTO, CA 38 <br /> 4 M-10-FM8 31007 PW 580 EL CAMINO REAL, SAN CARLOS, CA 47 <br /> 5 M-10-LJK 30892-PW 3155 EL CAMINO REAL, SANTA CLARA, CA 403 <br /> M-10-MJR 30889-PW 2030 WINCHESTER BLVD., SANTA CLARA, CA 14 <br /> 40 M 99-MTE 30890-PW 5 N. SAN MATEO DRIVE, SAN MATEO CA 155 <br /> 8 M-10-FT7 30920-PW 390 EL CAMINO REAL, MILBRAE, CA 77 <br /> 9 M-10-LIX 30941-PW 15884 HESPERIAN BLVD., SAN LORENZO, CA 53 <br /> .10 M-04-GKA 30891-PW 4201 MIDDLEFIELD ROAD, PALO ALTO, CA 139 <br /> 11 M-04-343 30887-PW 500 E. GRANTLINE BLVD., TRACY, CA' 225 <br /> 12 M-WHOL 30971-PW 1024 MAIN STREET,PLEASANTON, CA 87 <br /> TOTAL GALLONS: 1,582 <br /> TRANSPORTER INFORMATION <br /> NAME: BALCH PETROLEUM <br /> ADDRESS: 930 AMES AVE. <br /> CTTY,STATE,ZIP: MlLPTTAS, CA 95035 _W PHONE#• (408)942-8955 <br /> TRUCK ID#: PETERBILT - <br /> (Typed or printed full name&signature) (Date and Time) <br /> TCD FACILITY T11T_F®RMAT70fN i/ n <br /> NAME:.• MCKIITRICK WASTE DISPOSAL <br /> ADDRESS: 56533 HWY. 58 WEST <br /> CTFY,STATE,ZIP: MCKITTRICK CA 93251 PHO #: 805 762-7607 <br /> RELEASE#: 792-587 PS <br /> (PLEASE INVOICE BALCH) (Typed r printed fuVname&signs ) v (Date) <br />