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' Seaport Environmental <br /> . NON-HAZARDOUS WATER TRANSPORT FORM <br />' GENERArOR INFORMATION CUSTOMER INFORMATION <br /> Advanced Geo E"ritalorncnta American Valley ;Nash Oil <br /> Vanous <br /> Ca <br /> PO# <br /> UE5CRIPTION OF WATER Monutoring well dQye opment <br />' NON HAZARDOUS WAbTE WATER MONITORING WELL PURGE WATER ANDIOR AUGER RINSATE TANK HINSATE OR ABOVE <br /> 0GSCRIBED WATER THIS WATER MAY CONTAIN DISSOLVED HYDROCARBONS I CERTIFY THAT THE ABOVE NAimED MATERIAL <br /> ib A LIQUID EXEMPT Fiiov RCRA PER 40 CFR.261 4(b)(10)AND DOSS NOT MEET THE CRITERIA OF HAZAR6U4j5 WASTE Ab <br /> DEbCM130 IN 22 CCR ARTICLE 1f OR ANY OTHER APPLICAkRLE STATE LAW,HAS BEEN PROPERLY DEbGfRII3ED <br /> CLASSIFIED AND PACKAGED ANI)IS IN PROPER CONDITION FOli TRANSPORTATION ACCORDING TO APPLICABLE <br /> 4EGUL ATICNS <br /> Genorator/Authorised Agent <br /> 81gn date <br /> SITE INFORMATION <br /> Various GROSS <br /> 3535 C- Che.rc)l�,e4 ,ot.R <br /> Ca rage <br />' S�l NET <br /> TOTAL GALLONS <br /> n ulsfed at E 341L1 V1 V3Q <br /> 10 <br /> TRANSPORTER INFOiRMATio q <br />' Arriencan Valley Waste OII Truek In <br /> Driver <br /> Print full name&sign Cato <br />' TIME OUT <br /> TIME IN <br /> TIME SPENT <br />' DISPOSAL FACIuITY INFORMATION EPIC tD CAL 0000 <br /> 32030 <br /> Seaport EnvironMental Approval Number Solld3■AWt PH <br /> 675 Sport 332 - 584Redvo4d City,Ca 94063 <br />' Phone- (830)364 104 <br /> Solids Surcharge <br />' oJU9G <br /> Received by <br /> Print full name ii,sips its <br /> 1 <br />