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S}1e11 Pipeline Company LP <br /> RIPR Form <br /> i - <br /> 1 RDC: SHERELL HEIDT RIPR Date 7/28/2009 RIPR# 79216 <br /> Engineer: DOOLEY,DENNIS Phone l Fax: 209/835-3723. / 2098355974 <br /> Facility/SAP Cost Center: 77295 RegionlDist/Area: PIPELINE-CALIFORNIA Address: 25705 PATIERSON PASS ROAD <br /> County: SAN JOAQUIN COU TRACY, CA 95376 <br /> EPA Ida CAR000153767/C Waste Generator Size: SQG <br /> Direct Pay: NO <br /> Remediation: NO SAP Cost Element: 707542 Incident#: Send Copies:Reimb.Invoice NO <br /> Other Info: Company: <br /> Contact: <br /> M <br /> Consultant 1 Contractor Information. Address: <br /> Company: Contact: <br /> Type of Facility: SHELL Phone/Fax: 1 <br /> Material Descriotion Free Liquids: NO <br /> OILY DEBRIS <br /> Process Generating this Residual <br /> PUMP PADS CLEAN UP <br /> i <br /> Accumulation Date: 7/27/2009 Sampling Date(if applicable): 7/28/2009 1 <br /> Container Information: <br /> h <br /> Drums:Quantity 1 Type: 3 55 GALLON <br /> Id#: D-I,D-2;D3 <br /> Bins: Quantity I Size: <br /> Supplied by: <br /> Bulk Pile:Indicator/Size: NO h <br /> Other Container: <br /> Volume: Container Description: <br /> Contents/Prev.Contents: <br /> Reguirements or conditions associated with ick-a : <br /> } <br /> I <br /> Comments or suggestions for local vendor: <br /> i <br /> Form Filled Out by: ' <br /> Name: DOOLEY,DENNIS Date 7/28/2009 <br /> r <br /> Email: DENNIS.DOOLEY@SHELL.COM Phone/Fax: 209/835-3723 / 2098355974 <br /> .t <br /> l <br /> I <br /> i <br /> 161-Sp-h3sw( <br />