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Huo—ob-1'77G 1 to Cj I'D 1 wl 10 11,4t— <br /> Approval <br /> rvl.Approval NoIWM, INC <br /> NON-HAZARDOUS WATER TRANSPORT TWAMcNO <br /> CERTIFICATE OF DISPOSAL sPa7aggg <br /> GENERA'T'OR WFOAMA-noN CUSTOMER WFORMATION <br /> Name Southland Cogoratkon NameIV474 Inc <br /> Address 10220 SW Grembum Rd, 470 Address 950 Ames Avenue <br /> CVY, Sww,ZIP- PorrMand. OR 97233 City, State,Zip _Mil_phos. CA 95035 <br /> Pump=Order — <br /> GENERATOR CERTIFICATION OF NON-RAYARDOUS WASTE <br /> Descrwu=of Water Exmvubm Dewar <br /> 111C7N- RDWS WASTE WATEX MQtdTi'MNG WELL.mRGE WATER A1ND/m AUGFR NK <br /> TA <br /> RiNSATE <br /> RINSATE CR ABOVE DESCRmm wATEx Tms wAYER MAY CONTDISSOLVED SSOLVED HMRC)CAV, TA f <br /> CERTIFY THAT THE ffiAW NA.%ZD MATERIAL LS A LIQUID EXD4PT FROM RCRA PER 40 CFR 261.4(BX10) <br /> AND DMS NOT MEET THE cRnERIA OF HAZARDOUS WAS M AS DE,SCMBM IN 22 CCR ARTIa.,E 1 i OR ANY <br /> OTHER APPLICABLE STATE LAW. HAS BEEN PROPERLY DESCRIBED CLASSIF AND PACKAGET7 ANE)LS <br /> IN PROPER CONDITION FOR TRANSPORTATION ACCORDING TO AMICA3L.E REGllLA71ONS <br /> DAYS P dG4N TitR 500-0 JLWV GoRPblLITi 0++� - —� <br /> Cimumor/ Anffienmd Agent Stgwturc Daze <br /> SITE INFORMATION <br /> 1WM Job 4 Sim# Site Address #of Dnun GaucAl.s <br /> 14}]7 2725 W Cotm Clab ffivd, Stoclaar► CA 5�p <br /> Est v=-od Tcew 3 SOC? <br /> TRANSPORTER IIffORIKATION DISPOSAL FACILrrY INFORMATION <br /> Name IVVK Inc Name rt Fnvuoflmerd2i <br /> Address 950 11m05 Avwuc Address 675 EM2q Blvd _ <br /> M*gas,CA 95035 Pert of Redwood C CA 94063 <br /> Phme 409.942-8955 - Pbcne 650-364-1024 <br /> Trude ID#- y <br /> D"vcr Namz <br /> S+p=atrue <br /> it DOC(TRANPRT FRM) <br /> TQTAL �' 0d <br />