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Incot <br /> t <br /> • INTEGRATED WASTESTREAM MANAGEMENT INC <br /> ' 950 AMES AVENUE MILPITAS CA 95035 <br /> PHONE 448 842 8955 FAX 408 9421499 <br /> CERTIFICATE OF DISPOSAL <br /> ' Generator Name -U-Haul International Facility Name U-Haul #707-50 <br /> Address 2721 N Central Avenue Address 2701 N Wilson Way <br /> Phoenix, AZ 85004 Stockton, CA <br /> Contact Reid Riner Facility Contact Ken Hamilton, Blaes Environmental <br /> Phone 602-263-6647 Phone 620-728_0707 <br /> IWM Job# 92638-BW <br /> Description of Waste 500 Gallon(s) of <br /> Non-Hazardous <br /> . Water <br /> Removal Date November 18, 2002 <br /> ' Ticket# SP181102-MIS C <br /> Trans orter Information A:Siosal Facility Information <br /> Name PWM, Inc Name Seaport Environmental <br /> Address 950 Ames Avenue Address 675 Seaport Blvd <br /> ' Milpitas, CA 95035 _ Redwood City, CA 94063 <br /> Phone (408) 942-8955 Phone 650-364-6158 <br /> IWM, INC. CERTIFIES THAT THE ABOVE LISTED NON-HAZARDOUS WASTE WILL BE <br /> TREATED AND DISPOSED AT THE DESIGNATED FACILITY IN ACCORDANCE WITH <br /> APPLICABLE FEDERAL, STATE, AND LOCAL REGULATIONS. <br /> ' ,_7 Com- 2 0--, _"William T DeLon '` 11/18/02 <br /> -0 Authorized Representative (Print Name and Signature) Date <br /> CertOMisnosal Master 010600 Revised I June 2000 <br />