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INTEGRATED WASTESTREAM MANAGEMENT,INC. <br /> 1945 Concourse Dnve,San Jose,CA 95131-1708 <br /> PHONE: 400.433.1990 FAX: 408.433-9521 <br /> CERTIFICATE OF DISPOSAL <br /> Generator Name: Chevron Products Company Facility Name: Chevron Station#30-6415 <br /> Address: 6111 Bollinger Canyon Road Address: 437 E Miner Avenue <br /> San Ramon,CA 94583 Stoctkon, CA <br /> Contact: Stephanie Frugal McKenna Facilit)%."ptact: Brett Krehbiel,Arcadis <br /> Phone: 925-543-2349 Phone: 916-985-2079 x14 <br /> IWM Job#: 98910-DD <br /> Description of Waste: 3 DruIn(s) Of <br /> Non-Hazardous <br /> Grout/Debris <br /> Removal Date: 12/2/09 <br /> Ticket#: SS258 <br /> Trans orter Information Disposal Facility Information <br /> Name: IWM,Inc. Name: Republic Service Vasco Road Landfill <br /> Address: 950 Ames Avenue Address: 4001 North Vasco Road <br /> Milpitas, CA 95035 Livermore, CA 94550 <br /> Phone: (408) 942-8940 Phone: (925) 447-0491 <br /> IWM, INC. CERTIFIES THAT THE ABOVE LISTED NON-HAZARDOUS WASTE WILL BE <br /> TREATED AND DISPOSED AT THE DESIGNATED FACILITY IN ACCORDANCE WITH <br /> APPLICABLE FEDERAL,STATE, AND LOCAL REGULATIONS. <br /> William T. DeLon 12/2/09 <br /> Authorized Representative (Print Name and Signature) Date <br /> CertOfDisposal.Mastec010600 Revised: 1 June 2000 <br /> 1 <br />