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G- 3 -01-01 04: 1 2 Seaport Petra 1 eum 61SO 3641021 P. 01 <br /> 1 <br />' Seaport Environmental <br /> ro NON-HAZARDOUS WATER TRANSPORT FORM <br />' Gt?NERArOR INFORMATION CUSTOMER INFORMATION <br /> Advanced Geo E7vr-0t1men1a American Valley Waste Qll <br /> Vor sus <br />' Ca <br /> POO <br />' DESCRIPTION OF WATER Monitoring well dgvaiapment <br /> HON-HAZAROOUS WASTE WATER MONITORING WELL PURGE WATER ANDlOR AUGER 111NSAT`E TANK Ht,NSATE OR A15OVE <br /> DESCRIBED WATER THQ WATER MAY CONTAIN DISSOLVED HYDROCARIDONS I CE=RTIFY THAT THE ABOVE NAMED MATERIAL <br /> IS A LJQUlD EXEMPT I-HOV RCRA PER 40 CFR 21551 4(hxiDIAND DOES NOT MEET THE CRITERIA OF HAZARDOUS WASTE As <br /> Dc"SGRI© D IN 22 CCR ARTICLE 1 i OR ANY OTHER APPLICABLE STATE LAW,HAS BEEN PROPERLY DESGRIcED, <br />' CLASSIFIED AND PACKAGED ANI)IS IN PPOPER CONDITION FOR 7RANbPORTAn0N ACCORDING TO APPLI( A8LE <br /> REGU'-ATICN S <br /> GeneratcrlAuthorfeed Agent, <br /> sta„ ante <br />' <br /> SITE INFORMATION <br /> Various <br /> GROSS <br /> Ca TARE <br />' NET <br /> TOTAL GALLON'S <br /> u +�>r0�ir>51i3ryp� �� <br />' TRANSPORTER INFORMATI04 <br /> Truck ID <br />' American Valley Waste O!I <br /> Driven <br /> Print full name&sign date <br />' 7IME OUT <br /> TIME IN <br /> TIME SPENT <br /> 04SPOSAL FACILITY INFORMATION EPA ID.CAE.020092038 <br /> Seaport Environmental Approval Number Sollds%Wt Pry <br /> 675 Seaport Boulevard <br /> Redwood City, Ce 94063 F302 584 <br />' Ph On* (65a)98a 11024 <br /> SoRda Surcharge <br /> C1U9G <br /> Racelvetl by <br /> Pant full name 3 rClgn �trr <br />