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Seaport Environmental <br />' NON-HAZARDOUS WATER TRANSPORT FORM <br /> GENERArQR INFORMATION <br /> CUSTOMER INFORMA71ON <br />' Ad,,anved Geo E-i\,I onmen'a <br /> A+tlorlcan Valley Wade OII <br /> Vnr aus <br /> Ca <br />' <br /> PC # <br /> UESCRIPTION OF WATER Monrtorinq well development <br /> )40N HAZARDOUS WAb T E WATEr; MONITORING AFMLL PURGE WATER ANDIOA AUGER <br /> O�SCRIBED WATER 7HI� NATER MAY CONTAIN OISSOLVEO NY7ROCARBONS 1 CEATIFY THAT THANA HIN$ATE OFt pyOVE <br />' 1S A LIQUIV E'{EMP7?,Hoy 71CRp PER 40 CFR 261 4 ( POAND DOES NOT MEET THE CRITERIA OF HAZARDOUS WASTE.ASR'AL <br /> DCbCRJ©=D IN 22 GQq ARTICLE 11 OR ANY OTHER APPLICAaLt= STATE LAW, HAS 8EEN PROPERLY DEbCRIar!c) <br /> CL-ASSIFIF-D AND OACxAGEO ANI) 13 IN PPOPER CONC<TION FOR TRANSPORTATION ACCORIVN(, TO APP�I( ABLE <br /> REG0_A71CNS ° <br />' 4 I f1❑VA/J Ct Gtr7A t✓ /� o <br /> Vl <br /> GonpfilOrlAUSt10rIRad Agent <br />' gIa^ date <br /> 51TE INFORMATION <br />' Various <br /> GRObs <br /> TAR <br /> 2 eNETA <br /> L GALLCCNb i 7 <br /> _ <br /> .+vd it E 34ryi Ix 11 [ <br /> TRANSPORTER INFORMATION <br />' Truck ID JV, 7 ao <br /> 1 <br /> American Valley Inraste Ofi " <br /> Pr+ntiull name i sJpn date <br /> M <br />' DISPOSAL FACI6I7Y INFORMATION EPA ID CAL 000032450 <br /> Seaport Envfronmental Approval Numbor Sal ds I.wt <br /> 675 Saaport SQuievard �- � PM <br />' Rodwood City, Ca 94063 307~ ' 584 <br /> Phon• (450) 364 1024 <br />' oNda Sur nr4o <br /> ROCINod by V, <br /> �IUS <br /> Print fu'I name 5 sign I <br /> to <br /> 1 <br /> 1 <br />