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tFROM : AMERICAN VALLEY INC PHONE NO. 209 660 3880 Nov. 13 2001 03:18PM P2 <br /> 5sp-Or-a1 X0: 56 Seaport P�rr-ol�um 650 '3642021 P. 01 <br /> t Seaport Environmental <br /> NON-HAZARDOUS WATER TRANSPORT FORM <br /> OgNiPATOR INFORMATION CUSTOMER INFORMATION <br /> Advanced Gen Environmental American Vallcy V1asta Oil <br /> a various-on Me <br /> Ca <br /> t]IiSCRIPTiQN OF WATLR: Mcnitorlll0 Well Samp1ingILIB7 rt mad'++anon <br /> 410"A7ARDOUS WASTE WA r9A,MONITORING WELL PURGE WATC-R ANOZA)R AUGER RiNSA7E.TANK FNNSATE Oa ABrJVd <br /> DCSCRIDED WATER.THIS WATER MAY CONTAIN DISSOLVED HYDROCARBONS.I CERTIFY THAT THE ABOVE NAMED MATERIAL <br /> IS A LIOLAD EXEMPT FROM RC kA PCn 40 CPR 2©1.a(1>)(10)AND DOES NOT MEET TCRITERIA OF HAZAR00US WASTE A$ <br /> DCSCFJBFO;N z2 CCR ARTICLE 11 014 ANY OTHER APPLIQAHLE STATE LAW,HAS BHE RI <br /> HP_ <br /> PROPERLY❑ESC;RIKEu, <br /> C:ASSIFlEO AND I+AC KAGCD AND 15 IN PR(WER CONDITION FOR TRANSPORTATION ACCLIRDING TO APPLICABLE <br /> � <br /> -REG kr4- <br /> �L <br /> tCSI wratar/Atlthorlwd Avert sign dale <br /> SITE INFORMATION <br /> ' Var!OUS-on file GROSS ;•.2. <br /> TARE <br /> Cti :• NET <br /> 'TOTAL nALLCNS <br /> .t <br /> TRANSPORTER INFORMATION <br /> ' Trunk 10: <br /> 2� 47 w 8 a <br /> Amerlczn Vc4ley Waste Oil 1 <br /> ' Driver,. <br /> Prim full name sign date <br /> ' TIME OUT <br /> Y TIME IN <br /> Tipsy SPENT <br /> -aS+QSAL FACILITY INFORMATION CPIA ID,CAL 000032488 <br /> Seaport E11vltonmental Approval Number sallds%VVI pH <br /> ' •• . b76 Stapart I�oulo�ard 0� - 191 ., (� �� <br /> Redwood C4,Ca 94083 <br /> Phone. (ssD)3541074 <br /> ' Soil Su ergo <br /> 1 �f <br /> Raceived by: <br /> ' Print rislI risme 11 sten data <br />