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09/17/2002 TUE 10:30 FAX 209 466 1067 FORWARD INC LANDFILL OFFICE 10001/001 <br /> FORWAKI) DISPOSAL 17-ATION FORM DATE: 916102 <br /> INCORPORATED <br /> CUST NO. 2346 PROFILE N0, 2346 APPROVAL NO. 2346 APPROVAL DATE 916102 ACCT MGR KG <br /> A.GENERAL INFORMATION <br /> i GENERATOR Chevron BILL TO Chevron <br /> DEPARTMENT DEPARTMENT <br /> 1A.DDRESS 6001 Bollinger Canyon Road,Bldg L I ADDRESS 6001 Bollinger Canyon Road,Bldg L <br /> 1 CITY,STATE,ZIP San Ramon,CA 945830904 CITY,STATE,ZIP San Ramon,CA 945830904 <br /> CONTACT Rod Simmons CONTACT Rod Simmons <br /> PHONE (925)842-9103 PHONE '(925)842-9103 <br /> FAX (925)842-8370 i 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 Ramon,CA 945830904 (I 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 SOIL Material Code: CLASS II SOIL Class: Class 2 <br /> Start Date: Reason for Stockpile: <br /> Treatment: None Panel: <br /> E. BILLING INFORMATION <br /> Price: $24.00 I ton PO# Credit Llmlt: $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: 124.00 per ton TRUX INPUT: _Customer <br /> Trans.Rate: per _Contract <br /> ilin Rate: _Generator <br /> Stockpiling 9 per —Origin <br /> Tipper Rate: per <br /> Other Rate: <br /> per <br /> per <br /> Approved By <br />