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EnviroPacific <br /> P.O.Box 1053.Vacaville, <br /> C A-876019 <br /> 6,(707)761-2306 <br /> EC ti <br /> NON-HAZARDOUS WATER DiSP®SAL DOCUMENT <br /> '® 0�3,^tea <br /> — . <br /> : <br /> Name: Former Greer Construction <br /> NameRaymond Greer <br /> Address: 15634 Sleinegul Road,Escalon <br /> Address: 1601 Cabrllfo Court,Modesto,CA Tel: 209-679-2221 <br /> Tel: 209-579-2221 _ Contact: Genelle Martin <br /> Contact: Genelle Martin <br /> ® q Y <br /> Contact: Genelle Martin <br /> Tel 209-579-2221 X209 g?2.290 <br /> Name: Cardno ATC <br /> Address: 1117 Lone Palm Ave.,Suite B,Modesto,CA 95351 Prof.No.: 54.25291.0009 <br /> B <br /> Description of Water. Monitoring well purge water <br /> Quantity: Units: Drums <br /> This non-hazardous waste water is purged groundwater,auger rinse water,sampling equipment rinse water,a combination thereof,or as <br /> t the above named <br /> described <br /> according to describeapplicable regulations and possessescontain hycrno charectedsticsethat would require Its handlingerial s s aehazardous waste. and <br /> classi <br /> GeneretorlAuthorized Agent `"" '"II0 ��0� <br /> D <br /> Sign ate <br /> Print Name/Til a '[��(yCID-1 <br /> Name: EBMUD <br /> Name: EnvlroPactfic <br /> Address: 2020 Wake Avenue,Oakland,CA <br /> Address: P.O.Box 1053,Vacaville,CA <br /> Tel: (707)761.2306 Prof.No.: 335 <br /> This accordance with disposed <br /> cable federal,state and local regulations <br /> In <br /> ons <br /> happlicable <br /> ��s Waste Tracking No: 1025 <br /> Driver: <br /> Sign Removal Date <br /> 55 <br /> Ea✓iroPacific <br />