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nL1U`CJI..1 1 J JV 1 W LV ♦Y 1 wi a 4 i GV — - <br /> l�7 iris {1�C <br /> Approval NO NON-HAZARDOUS WATER TRANSPORT Twiat No <br /> CERTIFICATE OF DISPOSAL 5Po73 gg <br /> GENERATOR MFORMATION CUSTOMER IWORMATION <br /> Nam Southland Corporation Name rwhlti 1= <br /> Address 10220 SW Greed Rd, 470 — Address 950 Amu Avenue <br /> CXY, Staca• ZIP- PoriizkL OR 97233 Cny, Sate,Z1P Milpuac CA 9SO35 <br /> Esc OV&f — -- <br /> GENERATOR CERIMCATION OF NON-HAZARDOUS WASTE <br /> Desaipncm of Warr F-mavamm Doratermg <br /> NON-F AZARDOUS WASTE WATER MONITORING WELL.PURGE WATFR AND/OR AUGER RiNSATE,TANK <br /> FX45ATE OR ABOVE DESGRMM WATER- 1105 WATER MAY CONTAIN DISSOLVED HYDROCARBONS. I <br /> CMtTIFY'THAT TEE BELOW WAN=MATENAL IS A LTWM EN3N€FT FROM RCRA PER 40 CFR 261 elf 10 f <br /> AND DOES NOT MEET THE SIA OF RAZARDOUS 9vASM AS DESC UMD JN 22 CCR ARTICLE 1 i OR ANY <br /> OTHER AFFUCANX STATE LAW rig BEEN FRoPERLY DESCRIBED CLASsMID AND PACKAGED AND IS <br /> IN PROPER CONDI iON FOR TRANSPURTATTON ACCORDING TO APPLICABLE REGULATIONS <br /> IONS <br /> owsp <br /> Oww atorl Amh== d Agmt Stgnature Date <br /> SITE MFORMATION <br /> RWM job# 5m# Sac Address #of Drum Galims <br /> 14117 2725 W Country Club Stockton CA <br /> Eyed Total S`o <br /> TRANSPORTER[NFORMATION DISPOSAL FACILITY MFORMATION <br /> Name- RWM.bac f be-1Name Seaport Favmmmeaw - <br /> Address- 950 Ames Avenue Address 675 Bind _ <br /> Mks,CA 95035 Part afRe .+ood CRy, CA M63 <br /> Pbene 408-942-3955 - �.. Pbaae 654-364-1024 <br /> TmaID #- - P <br /> Dnves Nam_ Ct,,,+ <br /> s,� Dazs <br /> DOC(IVANPRT FRM) <br /> TQTPL P 04 <br />