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WASTE (IDV) NOTIFICATION FORM — Historical Pipeline <br /> Portfolio <br /> Generator: Chevron Environmental Management Company <br /> CEMC Contact: M. Scott Mansholt(925-842-1804) <br /> Project/Site Name: Pombo Property 175 est 11`x'Street,Tracy, <br /> CA)— Historica peline Portfolio <br /> Field Activities: <br /> Soil borings <br /> Waste Origin (County/City Location): San Joaquin County,Tracy, CA <br /> Location On-site: Drums are located along the fence line near SB- <br /> 11 inside the West Side Irrigation District <br /> easement <br /> Date Generated: February 25, 2004 <br /> Waste%& <br /> Waste and Disposal Container Volume Composite Sample ID <br /> Description Quantity T (watenoil) (if collected) <br /> 3 5 gallon drums 100%Soil SS-la, lb, 1c.1,IT•.� ® Soil drums <br /> ❑ Water-rinsate drums <br /> ❑ Water-purge drums <br /> ❑ Debris drums <br /> ❑ Product drums <br /> ❑ <br /> Bulk- <br /> Liquid- <br /> Other- <br /> Number <br /> ulk- <br /> Liquid- <br /> Other- <br /> Number of drums on site from previous activities or other parties (describe): <br /> Notes: Please see attached COC for waste characterization samples. <br /> Drums properly labeled: <br /> ® Yes <br /> ❑ No <br /> Please fax copy of COC with this form to CEMC contact at 925-842-0213. <br /> Full analytical data package should be sent ASAP to CEMC contact. <br />