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JUL-28-1996 14 22 ID P.M, I NC P 04 <br /> APProval NoTWM, TNC <br /> NON-HAZARDOUS WATER TRANSPORT Ticket No <br /> 8-48 CERTIFICATE OF DISPOSAL 5Po73v96 <br /> ' GENERATOR IN- FORMATION CUSTOMER INFORMATION <br /> Name Southland Corporation Name TwK Inc <br /> ' Address 10220 SW GrembM Rd 470 Address 950 Ames Avenue <br /> CrtY, Ste- Zip Portland. OR 97233 City, State,ZIP 11T1 etas, CA 95035 <br /> ' Purcbasc Order# <br /> GENERATOR CERTIFICATION OF NON-HAZARDOUS WASTE <br /> Descnpuan of Water Excavattan Dewaterm <br /> NON-RA ARDOUS WASTE WATER MONITORING WELL,PURGE WATER AND/OR AUGER RlNSATE,TANK <br /> RINSATE OR ABOVE DESCRIBED WATER TtuS WATER MAY CONTAIN DISSOLVED HYDROCARBONS I <br /> ' CFATII'Y THAT THE MMOW NAMED MATERIAL IS A LIQLM EXEMPT FROM RCRA PER 40 CFR 7-614(B)(10)AND DOES NOT MIS THE CRTnMk OF HAZARDOUS WASTE AS DES(RMM IN 22 CCR ARTICLE 11 OR ANY <br /> OTITER APPLICABLE STATE LAW HAS BEEN PROPERLY DESCRIBED CLASSIFIED AND PACKAGED AND IS <br /> IN PAUPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGULATIONS <br /> ' Generator/ Authon=d Agmt Sigaatura Date <br /> . SITE INFORMATION <br /> lWM Job g Srte ii Site Address #of Drum Ga11c�s <br /> ' � 2725 W Country Club Blvd, Stockton CA 4, 5DO <br /> E-cwrwed Total ` Ga <br />' TRANSPORTER INFORMATION DISPOSAL FACILITY INFORMATION <br /> Name IWM, Inc , ' (_ [f��,��-� Name Seaport Enmxa=euW <br /> Address 950 Ames Avenue Address 675 Seapoft Blvd <br /> Milpmas, CA 95035 Port of Redwood Cwy, CA 94063 <br /> Phone 405-942-8955 Ph®c 650--364-1024 <br /> Truck ID #- / <br /> Driver N / <br /> aaiC <br /> Signature Date <br /> D 0 C(T RANPRT FRM) <br />