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05/18/2003 FRI 15:04 FAX 0 003/003 <br /> A-21-1995 3:d3AM FROM P. 1 <br /> NOWNAZARDOUS WATER TRANSPORT FORM <br /> .GENERATOR INFORMATION CUSTOMER INFORMATION <br /> A0.40 Ping Foss Environmental Services <br /> CAAWS W.,bbur,1 h-454- <br /> r.� 4 C1 Kik. 0R,' <br /> Po # <br /> L-A mu-Ai) , o4^�. c 4x23 <br /> DESCRIPTION OF WATER <br /> WASTE WATER MONITORING WELL PARC. WATER ANWOR ALIGER RINSATE. TANK RINSATE OR ABOVE <br /> DESCRIBED WATER.THS WATER MAY CONTAIN DISSOLVED HYDROCARBONS. 1 CERTIFY THAT THE ABOVE NAMED NATEkAL <br /> IS A LiQUD VO4PT FROM RCRA PFR 40 CFR 261.4 (b)(10)AND DOES NOT MEEr.TFE CRITERIA OF HAZAFQ=WASTE As <br /> DEsmw) N 22 CCR ARTICLE 11 OR ANY OTHER APPLICA&E STATE LAW.HAS BEIM PROPERLY D6SGRIB . <br /> CLASSIFIED AND PACKAGED AND IS N PROPER CONDITION FOR TRANS?oRTATiON ACCORDING TO APPLICABLE <br /> RFfsUiAT S. <br /> Genarator�Authcri9ed Agent Sign date <br /> SITE INFORMATION 1`eLo/AMfin <br /> 1 3 o GROSS <br /> �taC �vr\ c A TARE <br /> 03 NET <br /> TOTAL GAL . <br /> caln�ama a vsr <br /> TRANSPORTER INFORMATION . <br /> Trude ID: O��°Z' <br /> Foss Envlronmental <br /> Driver j3i21AlJ NARK- :aid= Z3 623a1 <br /> Pilot till', name A SI$n. date <br /> TW OUT <br /> TIME W <br /> TIME SPENT <br /> DISPOSAL FACILITY INFORMATION FR 14 0� <br /> Seaport Environmental Approval Number 5Wids %Wt pH <br /> 675' Seaport Boulevard30Z ,9--1 <br /> Redwood City, Ca 94063 <br /> Phono: (650) 364 1024 <br /> I� <br /> Solids Surcharge <br /> a/USG <br /> Received by: <br /> PcinL-lull dame 8c sign <br /> date <br />