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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 k) <br /> GROUNDWATER WELLS AT <br /> Client <br /> Site Name I I <br /> Street Address <br /> io an 1 <br /> City, State I I <br /> added equip any other <br /> rinse water 1 /0 adjustments/ <br /> THE NON-HAZARDOUS PURGE- WATER WHICH HAS BEEN TOTAL GALS. r loaded onto <br /> RECOVERED FROM GROUND- WATER WELLS IS RECOVERED G�S BTS vehicle # 171 <br /> COLLECTED BY THE CONTRACTOR, MADE UP INTO <br /> LOADS OF APPROPRIATE SIZE AND HAULED TO- BTS event# time date <br /> O Z o7?,,I-Mtn - l JZ00 7 /31 /02- <br /> Ice, <br /> 02- <br /> I � signature <br /> ---...,..-------------------------------------------------------- <br /> REC'D AT _3-Tc, _ time date <br /> The contractor performing this work is BLAINE TECH SERVICES, Qncia -, _ -71 3 1 /_L <br /> INC, 1680 Rogers Ave , San Jose, CA 95112 (phone [408] 573-0555) unloaded by <br /> signature <br />