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{ L INFORMATION 'ICK UP RE VEST <br /> RESIDUA - . <br /> E UIL N TE MINALS AND PIPELINE <br /> Equilon Pipeline Company, P.0. Box 2648 Houston,TX 77252-2648 Date: 2115107 <br /> This form must be filled out completely and all required analyses attached. FAX or E-MAIL to the <br /> Residual Disposal Coordinator for chamderixation and transportation of material. <br /> RDC AREA PHONE FAX r <br /> Jena Henry DE,IL,KY,LA,MS,NM,OK,TX,UT 7131241-0236 71312414119 <br /> Kyle Hunt CO, IL,IN.KS, MI,MO,MT, NE,OH,OK,WY 713/241-4395 713/24I-7159 <br /> Lisa Reaves AK,AZ,CA, CO,HI,KS,NV,OR WA 713!241.8894 7131241 7646 <br /> SITE llyFORMATION. <br /> Site Contact: Dennis Doo! <br /> $J <br /> Region/District/Area: Western Phone: 209 649-7176 Fax: 209 835-5974 <br /> Facility Address: Tracy E2M Station 25705 W. Patterson Pass Rd. <br /> City: _Tracy _ State: Ca. Zip: 95377 County. Sad Joaquia <br /> Location Number: <br /> Incident No.: Charge Code/SAP/Expense/AFE 10090999 <br /> Send invoice to Name: pomiMo Nunez .Address: 25705 W. Patterson Pass Rd. <br /> City: Tmcy State: Ca. Zip: 95377 Telephone: 209834-8789 <br /> Material Description: Free Liquid Yes ® No <br /> soil with crude oil,diapers and plastic <br /> Process generating this residual:(Be specific) clean up of beat exchanger rebuild <br /> ` <br /> Accumulation Date: 2/10/07 Sampling Daft(if applicable) <br /> ) - <br /> Type of container. Drums–How many Type: <br /> Drum ID Numbers: B-1 <br /> Bins–How marry Size: ._20yrd Volume in Bin <br /> Size: Volume in Bin <br /> Bin Supplied by: Ba—mew;Fmcking <br /> Bulk pile Size - (cubic yards) <br /> Other ` <br /> Any special requirements for drum pick-up? (Rusty,missing parts,leakers,etc.) NIA a <br /> CommentslLocal Vendor Suggestion: I <br /> N/A <br /> Form filled out by: Dennis Dooley. Date: 2!15107 <br /> Phone: 209 649-7176 Fax: <br /> E-Mail Address: Company: <br /> NOTE: 1p VERIFICATION FORM IS NOT RECEIVED BY S1TB CONTACT WMHN FIVE(5)DAYS, <br /> NOTIFY RESIDUAL DISPOSAL COORDINATOR BY PHONE. 029100 <br />