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Incident Report (Cont.) Project Number : EM20114653 - JWM <br />H . Disposal Facilities Client File No : <br />Waste Facility <br />Address <br />City . <br />Disposal Date <br />Material : <br />Quantity : <br />Federal ID No. <br />Form Code: <br />Crosby & Overton, Inc. <br />1610 W. 17th Street <br />Lona Beach State: CA Zip: 90813 <br />09/15/2020 <br />Diesel Fuel -Impacted Material, Soil, & Rinsate <br />Five (5) Container Type/Measurement : DM (Drums, Metal) <br />State ID No. : <br />Federal Waste Code : <br />State Waste Code: 343, 352 <br />Sorce Code : <br />Disposal Pending <br />X State Hazardous <br />X Manifest Attached <br />Federal Hazardous <br />Non -Hazardous <br />Nov 17. 2020 EM20114653 - JWM <br />