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Jun-01-01 04: 12 seaport Petroleum 550 3543021 P- 01 <br /> ( -- Seaport Environmental <br /> ` l <br /> !7 NON-HAZARDOUS WATER TRANSPORT FORM <br />' C,ENERATOR INFORMATIOAi <br /> CUSTOMER INFORMATlE31+t <br /> Ad4anced Geo Enaironmenta- Antarican Valley VUasle OII <br />' vur,ous <br /> Ca <br /> PO# <br />' UESCRiPTION OF WATER MOnitoring well development <br /> NON 14AZARDOUS WAbTE WATER MONITORING WELL PURGE WATER , <br /> DESCRIBED WATER THIS WATER MAY CONTAIN 01SSOLVED NYDROCARDONS I CERTIFY THAT 7 E ABOVE NAA,ED AT 7A INSAT OR MAOVE <br /> TERIAL <br /> IS A LipUiO EXEMPT FF1pM RCRA PER 40 CFR 2014(ts)(10)ghlp DOES NOT MEET THE CRITERIA OF HAZARDOUS WASTE AS <br /> DESCIZIBEO IN 22 CCR A€RTiCLE 11 OR ANY OTHER APPLICABLE STATE_LAW,HAS BEEN PROPERLY DESCROF=D, <br />' CLASSIFIED AND PACKAGED ANI)IS IN PROPER CONOt7ION FOR TRAN61"ORTATION ACCORDING.TO APPLICABLE <br /> RFZGLJ-ATICNS <br />' C3enarrtorlAuthorl6aC pgant <br /> 9lnn date <br />' SITE INFORMATION <br /> Various <br /> GROSS L�a <br /> Ca 12-01 S• Cent 5t TARE <br />' Sxxic o r4 NET <br /> TOTAL GALLON$ <br /> o u MSa¢lie #S 0 94ilty prr Li911 <br /> YRANSPCRTER INFORMATIOy <br /> American Valley Waste Oil Truck ID <br /> Driver <br /> Print full name&sign <br /> gate <br /> TIME OUT <br /> TIME IN <br /> TIME SPENT <br /> DISPOSAL FACILITY INFORMATION EPA l0. CAL a0003Mg <br /> Seaport Environmentat Approval Number Solids.%Wl PN <br /> 875 569part 940 C a <br /> Rattrvood Cityy,,Cal 94663 307 - $84 <br /> Phone (660)3641024 <br /> Solids Surcharge <br /> arusa <br /> Recalvag by <br /> Print full name&Sign <br /> d,a4a <br /> I <br />