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10/22/2002 TUE 11:23 FAX 209 466 1067 FORWARD INC j... LANDFILL OFFICE 16002/002 <br /> FORWA <br /> DISPOSAL AUTHORkZATION FORM DATE;10/22102 <br /> Illp INCORPORATED <br /> OUST NO. 2346 PROFILE NO, 2346 APPROVAL NO. 2346 APPROVAL DATE 916102 ACCT MGR K <br /> A.GENERAL INFORMATION <br /> GENERATOR Chevron BILL TO Chevron <br /> DEPARTMENT DEPARTMENT <br /> ADDRESS 6001 Bollinger Canyon Road,Bldg L ADDRESS 6001 Bollinger Canyon Road,Bldg L <br /> CITY,STATE,ZIP San Ramon,CA 945830904 CITY,STATE,ZIP San Ramon,CA 945830904 <br /> CONTACT Rod Simmons CONTACT Rod Simmons <br /> PHONE (925)8429103 PHONE (925)842-9103 <br /> FAX (925)842-8370 FAX (925)842-8370 <br /> CONSULTANT Chevron TRANSPORTER <br /> DEPARTMENT DEPARTMENT <br /> ADDRESS 6001 Bollinger Canyon Road,Bldg L ADDRESS <br /> CITY,STATE,ZIP San Remon,CA 945830904 CITY,STATE,ZIP <br /> CONTACT Rod Simmons CONTACT <br /> PHONE (925)842-9103 PHONE <br /> FAX (925)842-8370 FAX <br /> B.WASTE STREAM DESCRIPTION Waste Site: 477 Oil Company Road(20-6227) <br /> Waste Description: Soil potentially containing gasoline. <br /> Waste Process; Waste Site City: NAPA <br /> C.WASTE QUANTITY <br /> Anticipated Qty: 45000 CY Acceptable Qty: 0 <br /> D. DISPOSAL PARAMETERS <br /> WWDescrlp: CLASS II COVER Material Code: CLASS II COVER Class: Class 2 <br /> Start Date: Reason for Stockpile: <br /> Treatment: None Panels: <br /> E. BILLING INFORMATION <br /> Price: $24.00 / ton PO# Credit Limit: $75,000 <br /> Cust No.: 2346 Prepay Terms Expiration Date: 3/6/03 <br /> Remarks: Price includes transportation.$11.00/ton for disposal,and$13.00/ton for transportation. <br /> Charges: Disposal Rate: $24.00 per ton TRUX INPUT: _Customer <br /> Trans.Rate: per _Contract <br /> Stockpiling Rate: _Generator <br /> P per _Orlgln <br /> Tipper Rate: per <br /> Other Rate: <br /> per <br /> per El - <br /> Approved <br /> r <br />