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NUV-1u-UJ nUN uz:`J4, rn aHlu - zHm;xHl'ltlntV rnn trv. 71v 014 uUav <br /> e!7 FILE <br /> WASTE (IDW) NOTIFICATION FORM-- Old Valley Pipeline <br /> �•.,- <br /> -Generator; Chevron Environmental Management Company <br /> CEMC Contact: M.Scott Mansholt(925-,842-1804) <br /> Project/Site Name; Row no fro of- <br /> Sojn <br /> Field Activities: �i x set b a ri n45 V <br /> so.,,)Jon u$n CO- ru,,c� <br /> Waste Origin(County/City Location): ..._.z �� <br /> a� C -160 5' � buc�Ce. s Qr� <br /> Location On-site: W° r�d a+. Al�t4 Park 73;� <br /> Date Generated: � 13 <br /> wam°rb& <br /> Waste and Disposal Container volume Composite Sample M <br /> tion Ouantity (water-oil if collected <br /> Soil drums 2. 'S c l &W 10070 sga= SGc 'Jere S <br /> ❑ <br /> Water-rinsate dnnns <br /> `+•.� ❑ w,uer-purge drums . <br /> Debris dnuus <br /> ❑' Product drums <br /> ❑ Uquid- <br /> Otbe r- <br /> Number .of drams on site from previous activities or other parties(describe): <br /> Notes; Alt colt- t/JWS'ri 6-47-1o4t !lEzb-- <br /> eUJGD PJ A1R1- r1CAL5 FAD.;l 8aejA;&:� <br /> SHOULP 2uF4fiCe l t F N o-rI ARRR t:r�1 J"l"S w�Lc- NIA'DE <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 /> i <br /> 9169748830 => CHEVRON EMC ,TEL=9258420213 11/10'03 14:46 <br />