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DEMO <br /> �•mswar�Rs <br /> +W4N"TES <br /> """«`MLLvw Hazardous Waste Hauler (Registration # 2843) <br /> CA 0003430 P.O. Box 292547 * Sacramento, CA 95829 * FAX 916-381-1573 <br /> Disposal Confirmation <br /> Request for Transportation Received 12/13/2005 <br /> Consultant Information <br /> Company Cambria <br /> Contact Ron Barone <br /> Phone 510-420-3308 <br /> Fax 510-420-9170 <br /> Site Information <br /> PO # <br /> Street Address 880 Victor Rd <br /> City, State, ZIP Lodi, Ca <br /> 10Customer Shell Oil Company RESA-0023-LDC <br /> RIPR # 50113 & 50114 <br /> SAP # 1 Location NA <br /> Incident # 98995526 <br /> Location 1 WIC # NA <br /> Environmental Engineer Denis Brown <br /> Material Description Soil and Concrete <br /> Estimated Quantity —10 cy and 2 drums <br /> Service Requested Date ASAP <br /> Disposal Facility Forward Landfill <br /> Contact Scott <br /> Phone 800 204-4242 <br /> Approval # 6033 / 4658 <br /> Date of Disposal Forward 12117 Crosby & Overton 12120 <br /> Actual Tonnage 11 88 Tons 110 gallons <br /> Transporter Manley & Sons Trucking, Inc <br /> Contact Jennifer Rogers <br /> Phone 916 381-6864 <br /> Fax 916 381-1573 <br /> Invoice 200512-16 <br /> Date of Invoice 12/23/2005 <br />