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70361 <br /> RESIDUAL INFORMATION PICK UP REQUEST <br /> E UILON TERMINALS AND PIPELINE <br /> Equilon Pipeline Company, P. O.Box 2648 Houston,TX 77252-2648 Date: 6/20108 <br /> This form must be filled out completely and all required analyses attached. FAX or E-MAIL to the <br /> Residual Disposal Coordinator for characterization and transportation of material. <br /> RDC AREA PHONE FAX <br /> Jena Henry DE,IL,KY,LA,MS,NM,OK,TX,UT 713/241-0236 713/241-4119 <br /> Kyle Hunt CO, II.,IN,KS, MI,MO,MT, NE,OH,OK,WY 713/241-4395 713/241-7159 <br /> Lisa Reaves AK,AZ,CA, CO,HI,KS,NV,OR,WA 713/241-8894 713/2417646 <br /> SITE INFORMATION <br /> Site Contact: Dennis Dooley <br /> Region/District/Area: Western Phone: 209 649-7176 Fax: 209 835-5974 <br /> Facility Address: Tracy Pump Station 25705 W. Patterson Pass Rd. <br /> City: Tracy — State: Ca. Zip: 95377 County: San Jo <br /> Location Number: <br /> Incident No.: Charge Code/SAP/Expense/AFE 10098934 <br /> Send invoice to Name: Domingo Nunez Address: 25705 W.Patterson Pass Rd. <br /> City: Tracy State: Ca. Zip: 95377 Telephone: 209 834-8789 <br /> Material Description: Free Liquid ❑ Yes ® No <br /> oilj debris ' ers 0=64 N �t <br /> Process generating this residual:(Be specific) clean up from pipeline replacement <br /> Accumulation Date: 6/10/08 Sampling Date(if applicable) <br /> Type of container: Drums–How many 2 Type: open LeaA ring lid <br /> Drum ID Numbers: D-1 ,D-2 <br /> Bins–How many Size: Volume in Bin <br /> Size. Volume in Bin <br /> Bin Supplied by: Bayview <br /> Bulk pile Size (cubic yards) <br /> Other <br /> Any special requirements for drum pickup? (Rusty,missing parts,leakers,etc.) NIA <br /> Comments/Local Vendor Suggestion: <br /> N/A <br /> Forma filled out by: Dennis Dool Date: <br /> Phone: 209649-7176 Fax: <br /> E-mail Address: Company: <br /> NOTE: IF VERMCATION FORM IS NOT RECEIVED BY SrM CONTACT WITHIN FIVE(5)DAYS, <br /> NOTIFY RESIDUAL DISPOSAL COORDINATOR BY PHONE. a8rz�mn <br />