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eYpert Environmental <br /> . � ��3-r-lA ARi�'(� 15 i�/I�,T R T F AN,--FORT F�R M f <br /> i <br />' GENERATOR 'NFORJ+ ATION CUSTOMER INFORMATION , <br /> Pacllc Mint mart Arneeican Wailey Waste Oil <br /> 4511 Pathic Ave <br /> S(oc'{tan Ca PO <br /> 0G5Cr,1Pn()N OF WA7FR Monitornntt well deve)opmant <br /> htdN4-AZAn00tJ$vvn5Tr WATER M0N1T0 RJNG WELL.PURGE NATERANCICH AUGER RINSATE TANK RIN,5ATE ON A60VE <br /> I)ESCRIOt C W' TF-R. i!It-i WATER MAY CCNTAItV I)tbS4LVCD HYDROCAA80r S 1 CE'kTIPY TKAT THI✓ASQVG NAMED MATCRIAL <br /> cS a Ut UIC ZXENAP I PROM RCRA PER 40 CAH 261 4(h)(IG)AND 0025 N07 Mr-C-1 THE QAITF-AiA OF HAXAKI)QUS WAS r F AS <br /> CESCAMED iN 22(.=ARI IG6E 11 OR ANY OTMER APPLICABLE NATE LAW HAS UEN PROPCRLY Cr=SCRIGGO <br /> CLASSIFLFQ AND PAC<<AGGD ANI)15 iN PROPER CQNOITiON FOR TUNt)VORTATION ACCOPLANG tO AP►-ILICABLE <br /> FiEGLiLAT'U>`i5 <br />' Gener�tgrlAutnonsed <br /> Ag*At <br /> sign ¢ate <br /> SITE INFORMATION <br /> 4.5111 Pac)fic Avc GK S5 OaC <br /> Stockton TARE <br />' Ca NF-T <br /> TOTAL GALLON$ QlC30 <br /> 4.YuA�d at y,S,iras IW I J t <br /> TRANSPORTER INFORMATION <br />' Truck to r <br /> At77efican Valley WsSte Oil <br /> 17r14er �,� L.ti.hof ,,,� �✓��._ _`'�'-( .r(�� <br /> Print full name ti sign data <br />' TIME OUT <br /> TIME IN <br /> ~' TIME SPENT <br /> 04SPOSAL FACILJTY IiaFORMATION EPA to CAL 90003208 <br />' Seaport Enwonmental Approval Number 5otlds •l.YVS pli <br /> 676 Seaport Sovievartl 302 - 501 <br /> Roow000 City Ca 94063 <br /> r <br /> So l tclLx�-Su�rch-aarrg e <br />' ¢JUSG <br /> /1 r_ <br /> RadCwcd by w4v&/ r11 <br />' Prinz reit naano & sign data <br /> e� , <br />