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Sap-06-01 20 . 56 Seaport Patralaum 650 3641021 P - 01 <br /> 1 , <br /> • Seaport Environmental <br /> ' NON-HAZARDOUS WATER TRANSPORT FORM <br /> GENERATOR INFORMATION CUSTOMER INFORMATION <br /> ' AdvAmerican Valley Waste Oli <br /> Advanced Goo EnvlronrTlant3l <br /> various-on filo <br /> Ca PO>i <br /> DESCRIPTION OF wATIrH MonlsorinU Well Sampling/UST rumediatlon <br /> NON-HAZARDOUS WASTE YVA rkR H4ONIT0RlNG W@LL PURGE WATER ANI lrc)R AUGER RINSATE TANK RINSATE OR AOOVE <br /> ' DCSCRIBEO WATkH THIS WATER MAY CONTAIN DISSOLVED HYDROCARBONS I GEATIFY THAT THE ABOVE NAMED MATF-R AL <br /> IS A LK)LAD EXEMPT FROM K('kA PCR 40 CFR 201 4 (U)(10)AND DOES NOT ME ET THE CRITERIA OF I-lAZAROOUS WASTE AS <br /> DE5CRI13Fi)IN,t CCR ARTICLE 11 OH ANY OTHER M111.C,ARLE STATE LAM HAS SEEN NROPCRLY OESCRIMEI) <br /> C'IASSIFIED ANO HACKAGID ANO 15 IN PROPGR CONDITION FOR YNAN4POPTA7ION ACCORDING TO APPLICABLE <br /> ' REGULATIUNS <br /> Generacer/Authorload Agent sun data <br /> 517E INFORMATION <br /> ' var ous-on file GRASS <br /> -` TARE <br /> Ca ��DO �UVY1 ��Qbla NET <br /> �. TOTAL C3ALLONS <br /> 4wMasato:WIJ <br /> ,t, <br /> TRANSPORTER INFORMATION M � so <br /> ' Truck IQ <br /> American VVIICy Wdsle 011 /; 1 <br /> ' Driver <br /> Print full name 3 aIgn ding <br /> TIME OUT <br /> ' TIME IN <br /> Time SPENT <br /> ' DISPOSAL FACILITY INFORIMAT30h EPA IIU CAL 000032038 <br /> Seaport Envlronmentai Approval Number 5alidls'Awt pM <br /> ' 675 Seaport Boulevard a02 <br /> Redwood City,Ca 94063 <br /> Phone (850) 3641024 7� <br /> ' ollds Sur: Fbarge <br /> Recerved by ti 1�✓p I� d �'� .`� �- / �' CI / <br /> • Print full nam*b sign a <br /> f <br />