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3UL--28-1558 y 14 y22 ID- r WM, INC P $4 <br /> IWM, INC <br /> Approval No NON-14AZ.ARDOIJS NATER TRANSPORT TwIxtNo <br /> $-8 q8 CL-PUIFICAT.E OF DISPOSAL <br /> GENERATOR rsi~ORMATIUN CUSTOMER INFORMATION <br /> Name Southland Coration Name r%M Inc - <br /> Address 10220 SW Greenburg Rd, 470 Address 950 Ames Avenue <br /> City, Starve Zip Portland. OR 972.33 Csty, State,Zip Nfilprtas CA 95035 -- <br /> purrhasc Qnkf#Q - <br /> GENERATOR CERTIFICATION OF NUN-HAZARDOUS WASTE <br /> Descngt3m of Wafter _ Evratvaum Dewartemg ---- <br /> 14ON-HAZARDOfJS WASTE WATER MONiTORLNG WELL PURGE WATER AND/OR AUGER MSATE,TANK <br /> RiNSATE OR ABOVE DESCRMM WATER THIS WATER MAY CONTAIN DISSOLVED HYDROCARBONS I <br /> ' CERTIFY THAT THE BELOW NAMED MATEMAL IS A LIQUM E3IE�FROM RCRA PER 40 CFR.261 4(8)(10) <br /> AND FLOES NOT MEET THE CROFRIA OF H ZAPEDWS WASTE AS DESCRMM IN 22 CCR ARTICLE I I OR ANY <br /> OTHER APPLICABLE STAN LAW HAS BEEN PROPERLY DESCRIBED,CLASSWM D AND PACKAGED AND LS <br /> IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO APPLICABLE REGUL ATItJNS <br /> V"I V M4N- nW, 54UNLAW <br /> Generator/ Authon=d Agrait v Slgnatum Date <br /> SITE iNFORhiATION <br /> IWM Tab ;;� Stte# Site Address of Dn m C-" ais <br /> ' 14117 2725 W Country Club Blvd, Stockton CA 5b4 <br /> Esmmed Total v L' <br /> TRANSPORTER tNFORMATION DFSMSAL FACILITY 12WORMA110N <br /> Name rwm, Inc /- ' ` ! _`_ ,t Name rt Eavu=mextal <br /> Address 950 Ames Avmue Address _675 seaport Blvd <br /> ' M*ytas, CA 95035 Part of Redwood City CA 94063- <br /> Plsoue 408-942-8955 Phone 650-364-1024 -- <br /> Truck LD 0- <br /> 1]rtver Name ,� I - <br /> --- Data <br /> DOC(TRANPRT FFUv1j <br /> r�- 0-1 <br />