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IriMar- 15-00 03 : 41 Seapot <br /> Petro l8yrn <br /> `r•� 6 5 0 41021 <br /> P_ p2 <br /> L <br /> CTS Seaport Environmental <br /> NON-HAZARDOUS � . <br /> - <br /> WATER TRANSPORT FORM <br /> cE <br /> NERATOR INFORMATION <br /> MIKE MCGRANAHAN CUSTOMERINFORMATIOM <br /> P-0. BOX 5018 NOR CAL OIL INC NC <br /> Ca CA 95352 <br /> I <br /> PO n <br /> DES00PTION OF WATER: Monitoring ti%'elf Samp{ingiUST remediation <br /> NON-HAZAR()OUS WASTE NATER, ht <br /> ONI DESCRINEI)WATER. THIS WATER hTA1'( NG WELL PURGE <br /> :ONIq N p SSOLVED N DRO AR QWATER ONS.ACERTIFY THAT T-146 AK IN <br /> IS A LIQt1ll)EXEMPT FROM RCRA PER.0(-Fft 263.4(5)(10)gND DOES NpT MEET T SATE E ABOVC <br /> MATE <br /> DESCRIgFf) IN;Z(CR ARTICLE 11 ORA H OVF NAMED MATERIAL i <br /> CLASSIFIED ANO ANY OTHER APPLICABLE STATE LAW, HAS E CRITERIA RL HAZgRUtJUS WASTE AS <br /> PACKAGED AND IS IN P{ gpER CONl71TfUN FOR TRANSPORTATIO i <br /> REGULATIONS. S BEEN PROPERLY OESCRIbEi)• <br /> Oftel G T APPLIC:ASLE <br /> �} Generalo uthorlsad Agent ' �� `h <br /> v�• <br /> Sign <br /> SITE INFORMATION i <br /> Various FORMER MORESCO PROPERTY <br /> 16865 GAWNE RD, GROSS <br /> Ca STOCKTON, CA 9 5 2 1 5 TARE f <br /> NET <br /> TOTAL GALLONS <br /> S ce. <br /> TRANSPORTER INFORMATION <br /> I <br /> j <br /> NOR CAL OIL Truck Io: SA 14 12 <br /> P•O. BOX 645 , DENAIR, CA 9531 <br /> PLUS $50 profifing fee_ �rlver, <br /> Print f II name <br /> e <br /> TIME OUT <br /> TIME VN <br /> TIME SPENT <br /> DISPOSAL FACILITY INFORMATION EPA lo:CAL 000032059 <br /> Seaport Environmental <br /> L Approval Number Solids %W1 PH <br /> 675 Seaport Boulevard � <br /> Redwood City, Ca 94063 ](32 041 \ <br /> Phone: (050) 364 1024 <br /> r Solids-Surcharge <br /> SIG <br /> Resolved 6y: ;� �• <br /> Print full name d t / ' � �_ I C 1 ♦� <br /> \j <br /> L <br />