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Shell Pipeline Company LP <br /> WR Form <br /> Select RDC:RAY WALDING -REWALDI <br /> l <br /> RDC: RAY WALDING RIPR Date 10/6/2009 RIPR Ii 80397 <br /> Engineer: DOOLEY,DENNIS Phone/Fax: 2091835-3723 / 2098355974 <br /> Facility/SAP Cost Center: 77295 -Region/Dist/Area: PIPELINE-CALIFORNIA Address: 25705 PATTERSON PASS ROAD <br /> County: SAN JOAQUIN COU TRACY, CA 95376 <br /> EPA Id: CAR000153767/C Waste Generator Size: SQG <br /> Direct Pay: NO <br /> F <br /> Remedlation: NO SAP Cost Element: 707542 incident#: Send Copies:Relmb.Invoice NO <br /> Other Info: Company: <br /> Contact: <br /> Consultant 1 Contractor Information Address: 1630 W. 17TH STREET <br /> Company: CROSBY AND OVERTON,INC. Contact: DALOT,MICHELLE LONG BEACH, CA 90813 <br /> Type of Facility: SHELL Phone/Fax: 5624325445 1 562495218 l- <br /> r <br /> Material Description Free Liquids: NO <br /> CRUDE OILIGRAVEL AND PLASTIC <br /> 1 <br /> Process Generatins this Residual <br /> GENERAL MAINTENANCE <br /> i <br /> f <br /> Accumulation Date: 9/30/2009 Sampling Date(if applicable): <br /> C20niner Informatia <br /> Drums:Quantity/Type: I STEEL/55 GAL. <br /> : Id#: D-2 <br /> Bins: Quantity/Size: <br /> Supplied by: <br /> Bulk Pile:Indicator/Size: NO <br /> Other Container: <br /> Volume: Container Description: <br /> ContentslPrev.Contents: <br /> Reauirements or conditions associated with plssp. <br /> Comments or suggestions for local <br /> Form Filled Out by- <br /> Name: DOOLEY,DENNIS Date 10/6/2009 <br /> Email: DENNIS.DOOLEYQSHELL.COM Phone/Fax: 209/835-3723 1 2098355974 <br /> I <br /> I+ <br /> r <br />